Organization Active NPI

ENT Surgical Associates, P.C.

  • Otolaryngology Physician
  • Hazleton, PA
National Provider Identifier
1730397266
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
OS0093562 Issued in PA
Legal business name
ENT SURGICAL ASSOCIATES, P.C.
Practice address
558 North Church St. Suite 20
Hazleton, PA 18201-3188
Phone
(570) 459-5030
Fax
(570) 459-5022
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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

Authorized official

Name
Darren J Hohn, DO
Title
Vice President
Phone
(570) 459-5030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X OS0093562 PA Primary

Addresses

Primary practice location

558 North Church St. Suite 20
Hazleton, PA 18201-3188

Mailing address

558 North Church St. Suite 20
Hazleton, PA 18201-3188
Phone (570) 459-5030

Other identifiers 1

IdentifierTypeStateIssuer
2546381OtherPAAETNA

National Provider Directory

National Provider Directory

Locations

668 N Church St
Ste 20
Hazleton, PA 18201
Phone (570) 450-6454

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FAFBAA

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585699200000",
    "number": "1730397266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "558 NORTH CHURCH ST. SUITE 20",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182013188",
            "telephone_number": "570-459-5030",
            "fax_number": "570-459-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 NORTH CHURCH ST. SUITE 20",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182013188",
            "telephone_number": "570-459-5030",
            "fax_number": "570-459-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENT SURGICAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A",
        "authorized_official_last_name": "HOHN",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "570-459-5030",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "OS0093562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2546381",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazleton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.