Fifth Avenue Otolaryngologists, Inc.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

50088404 Issued in OH

Legal business name

FIFTH AVENUE OTOLARYNGOLOGISTS, INC.

Practice address

7227 Glenwood Ave
Youngstown, OH 44512-4853

Phone

(330) 629-2144

Fax

(330) 629-2140

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Andrea R. Ricciardulli

Title

Office Manager

Phone

(330) 629-2144

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

Practitioners 4

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

• Jessica Wilson, AU.D

  • Audiologist
  • Salem, OH
  • NPI 1427807254
  NPD
• Michael Robert Pascolini, D.O.

  • Facial Plastic Surgery Physician
  • Boardman, OH
  • NPI 1073772422
  NPD (past)
• John Walter Werning, MD

  • Otolaryngology Physician
  • Maumee, OH
  • NPI 1255358032
  NPD (past)
• Arthur Paul Wood, M.D.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Greenville, SC
  • NPI 1336234046
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605225600000",
    "number": "1760577787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7227 GLENWOOD AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445124853",
            "telephone_number": "330-629-2144",
            "fax_number": "330-629-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7227 GLENWOOD AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445124853",
            "telephone_number": "330-629-2144",
            "fax_number": "330-629-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIFTH AVENUE OTOLARYNGOLOGISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A",
        "authorized_official_last_name": "RICCIARDULLI",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "330-629-2144"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "OH",
            "license": "50088404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN",
            "identifier": "278113",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM GROUP ID",
            "identifier": "000000252392",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "099857",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0666819",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CE5013",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob Ferris, PT, DPT
• Kayla Ferry, CRNP
• Joel Evan Feuer, DDS
• Emily Fick, LPN
• Sidney Fields
• Sheryl A Figliano, AUD
• Jennifer Figueroa
• Sarah M Figueroa, CRNA, BSN, RN
• Mark D Fildes, MD
• Kayla Fill

• Otolaryngology Physician in Youngstown, OH
• Providers in Youngstown, 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 13, 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.