NPIMap

Organization Active NPI

Ohio Ear Institute LLC

  • Otology & Neurotology Physician
  • Westerville, OH
National Provider Identifier
1720157381
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otology & Neurotology PhysicianTaxonomy code 207YX0901X
License
35088358 Issued in OH
Legal business name
OHIO EAR INSTITUTE LLC
Practice address
387 County Line Road West
Suite 115
Westerville, OH 43082-6077
Phone
(614) 891-9190
Fax
(614) 839-9174
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Authorized official

Name
Dr. John M Ryzenman, MDNPI 1871501437
Title
Director
Phone
(614) 891-9190

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otology & Neurotology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YX0901X 35088358 OH Primary
Ambulatory Surgical Clinic/Center 261QA1903X

Addresses

Primary practice location

387 County Line Road West
Suite 115
Westerville, OH 43082-6077

Mailing address

387 County Line Road West
Suite 115
Westerville, OH 43082-6077
Phone (614) 891-9190

Other identifiers 1

IdentifierTypeStateIssuer
2674566MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061201000529 OH Part B Supplier - Clinic/Group Practice 9739187618 Receives reassigned benefits from 2 practitioners
Practice locations: Gahanna, OH

National Provider Directory

National Provider Directory

Locations

387 County Line Rd W
Ste 115
Westerville, OH 43082
Phone (614) 839-9173

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578614400000",
    "number": "1720157381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 COUNTY LINE ROAD WEST",
            "address_2": "SUITE 115",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430826077",
            "telephone_number": "614-891-9190",
            "fax_number": "614-839-9174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 COUNTY LINE ROAD WEST",
            "address_2": "SUITE 115",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430826077",
            "telephone_number": "614-891-9190",
            "fax_number": "614-839-9174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO EAR INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A",
        "authorized_official_last_name": "RYZENMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "614-891-9190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "OH",
            "license": "35088358",
            "primary": true
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2674566",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.