NPIMap

Organization Active NPI

Diseases of the Ears, Nose and Throat, Inc

  • Otolaryngology Physician
  • Gahanna, OH
National Provider Identifier
1720183163
Registry record updated Jan 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
DISEASES OF THE EARS, NOSE AND THROAT, INC
Practice address
600 Taylor Station Road
Gahanna, OH 43230-6293
Phone
(614) 759-8811
Fax
(614) 759-6506
NPI assigned
Sep 13, 2006
Last updated
Jan 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2020

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

Authorized official

Name
Dr. Timothy J Nash, DONPI 1649383969
Title
Officer Owner
Phone
(614) 759-8811

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)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

600 Taylor Station Road
Gahanna, OH 43230-6293

Mailing address

600 Taylor Station Road
Gahanna, OH 43230-6293
Phone (614) 759-8811

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050922001278 OH Part B Supplier - Clinic/Group Practice 8820022445 Receives reassigned benefits from 4 practitioners
Practice locations: Gahanna, OH

National Provider Directory

National Provider Directory

Locations

600 N Pickaway St
Ste 201
Circleville, OH 43113
Phone (740) 474-9551

5965 E Broad St
Ste 370
Columbus, OH 43213
Phone (614) 759-8811

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16219/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579564800000",
    "number": "1720183163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 TAYLOR STATION ROAD",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432306293",
            "telephone_number": "614-759-8811",
            "fax_number": "614-759-6506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 TAYLOR STATION ROAD",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432306293",
            "telephone_number": "614-759-8811",
            "fax_number": "614-759-6506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISEASES OF THE EARS, NOSE AND THROAT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A",
        "authorized_official_last_name": "NASH",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICER OWNER",
        "authorized_official_telephone_number": "614-759-8811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gahanna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.