Greater Dayton Ear, Nose, and Throat, LLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

GREATER DAYTON EAR, NOSE, AND THROAT, LLC

Practice address

211 Kenbrook Dr Ste 1-2
Vandalia, OH 45377-2400

Phone

(937) 918-7667

NPI assigned

Nov 19, 2025

Last updated

Nov 19, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stewart I Adam III, MDNPI 1184866642

Title

Owner

Phone

(937) 918-7667

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

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.

• Stewart Inglis Adam III, MD

  • Otolaryngology Physician
  • Vandalia, OH
  • NPI 1184866642
  Medicare reassignment NPD Authorized official
• Stacy Renee Roberts

  • Audiologist
  • Sidney, OH
  • NPI 1871981423
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1763510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1669333662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 KENBROOK DR STE 1-2",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453772400",
            "telephone_number": "937-918-7667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 KENBROOK DR STE 1-2",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453772400",
            "telephone_number": "937-918-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER DAYTON EAR, NOSE, AND THROAT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-19",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "ADAM",
        "authorized_official_first_name": "STEWART",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-918-7667",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacie Michelle Gehron Cornwell, DPT
• Sheri L Gibson, RN
• Bridget Frances Goldenstein, DO
• Graceworks Enhanced Living (Clear Brooke)
• Gray Ghost Inc
• Bryn David Greenwell, DNP, APRN
• Erin Gribben
• Jason W Grimm, ACNP
• Stephen R Guy, MD
• Nanaama Gyamfi, PHARMD.

• Otolaryngology Physician in Vandalia, OH
• Providers in Vandalia, OH by specialty
• Otolaryngology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; 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.

Verify at the official NPI Registry.