Main Line Ear, Nose & Throat, PC

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

License

MD431700 Issued in PA

Legal business name

MAIN LINE EAR, NOSE & THROAT, PC

Practice address

17 Industrial Blvd
Suite 102
Paoli, PA 19301-1607

Phone

(610) 647-3727

Fax

(610) 647-4969

NPI assigned

Aug 12, 2008

Last updated

Mar 16, 2015By 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

Christopher Randall Hove, MDNPI 1134230436

Title

Physician Owner

Phone

(610) 647-3727

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 4

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.

• Christopher Randall Hove, M.D.

  • Facial Plastic Surgery Physician
  • Paoli, PA
  • NPI 1134230436
  Medicare reassignment Care Compare group NPD Authorized official
• Michael John McCandless, AUD

  • Audiologist
  • Exton, PA
  • NPI 1497916936
  Medicare reassignment Care Compare group NPD
• Melani Sophocles McGuire, CRNP

  • Family Nurse Practitioner
  • Malvern, PA
  • NPI 1306295167
  Medicare reassignment Care Compare group NPD
• Joanne Greene, AUD

  • Audiologist
  • Newark, DE
  • NPI 1073555702

  PA

  Medicare reassignment NPD

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426464000000",
    "number": "1780830620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 INDUSTRIAL BLVD",
            "address_2": "SUITE 102",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011607",
            "telephone_number": "610-647-3727",
            "fax_number": "610-647-4969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 INDUSTRIAL BLVD",
            "address_2": "SUITE 102",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011607",
            "telephone_number": "610-647-3727",
            "fax_number": "610-647-4969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN LINE EAR, NOSE & THROAT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2015-03-16",
        "status": "A",
        "authorized_official_last_name": "HOVE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "610-647-3727",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "PA",
            "license": "MD431700",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102498645-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Maggio Fisher
• Main Line Adult Counseling, LLC
• Main Line Cardiology Associates PC
• Main Line Cardiology Associates, PC
• Main Line Clinical Laboratories
• Main Line Emergency Med Associates LLC
• Main Line Gastroenterology Associates, PC
• Main Line Hand Center LLC
• Main Line Hospitals, Inc.
• Main Line Hospitals, Inc. (Paoli Hospital)

• Facial Plastic Surgery Physician in Paoli, PA
• Providers in Paoli, PA by specialty
• Facial Plastic Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; 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.