Active NPI
Laurel ENT & Allergy PC
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Indiana, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- License
- MD064804L
- Legal business name
- LAUREL ENT & ALLERGY PC
- Practice address
- 850 Hospital Rd
Suite 2100
Indiana, PA 15701-3662 - Phone
- (724) 349-4360
- Fax
- (724) 463-1847
- NPI assigned
- Aug 24, 2006
- Last updated
- Jun 21, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sumeet Mathur, MD
- Title
- Physician/President
- Phone
- (724) 349-4360
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | MD064804L | PA | Primary |
Addresses
Primary practice location
850 Hospital Rd
Suite 2100
Indiana, PA 15701-3662
Mailing address
850 Hospital Rd
Suite 2100
Indiana, PA 15701-3662
Phone (724) 349-4360
Other names 1
- Sam Mathur, MD, PC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, WV
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
321 Main St
Ste 5B
Johnstown, PA 15901
Phone (814) 254-4738
304 Unity Plz
Latrobe, PA 15650
Phone (724) 532-1600
101 Fowler Rd
Ste G
Warrendale, PA 15086
Phone (724) 349-4360
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Johnstown, PA
- NPI 1609864115
WV
-
- Family Nurse Practitioner
- Ebensburg, PA
- NPI 1649785460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529539200000",
"number": "1649387515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 HOSPITAL RD",
"address_2": "SUITE 2100",
"city": "INDIANA",
"state": "PA",
"postal_code": "157013662",
"telephone_number": "724-349-4360",
"fax_number": "724-463-1847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 HOSPITAL RD",
"address_2": "SUITE 2100",
"city": "INDIANA",
"state": "PA",
"postal_code": "157013662",
"telephone_number": "724-349-4360",
"fax_number": "724-463-1847"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAUREL ENT & ALLERGY PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-24",
"last_updated": "2018-06-21",
"status": "A",
"authorized_official_last_name": "MATHUR",
"authorized_official_first_name": "SUMEET",
"authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
"authorized_official_telephone_number": "724-349-4360",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207YX0007X",
"taxonomy_group": "",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "PA",
"license": "MD064804L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sam Mathur, MD, PC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Indiana, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.