Ashland Otolaryngology, Head & Neck Surgery, Inc.
Organization Active NPI Otolaryngology Physician · Ashland, OH
NPI 1811065386 · NPPES record last updated Nov 16, 2025
Key facts
- NPI
- 1811065386
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Otolaryngology Physician 207Y00000X
- License
- 35069631 (OH)
- Legal business name
- ASHLAND OTOLARYNGOLOGY, HEAD & NECK SURGERY, INC.
- Practice address
- 2212 Mifflin Avenue
Suite 130
Ashland, OH 44805 - Phone
- (419) 289-8919
- Fax
- (419) 289-9563
- NPI assigned
- Dec 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Andrew M Stein, MD
- Title
- President
- Phone
- (419) 289-8919
Practitioners 1
-
Andrew M Stein Sr., M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050927001605 | OH | Part B Supplier - Clinic/Group Practice | 3375578461 |
Receives reassigned benefits from 1 practitioner Practice locations: Ashland, OH |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician |
207Y00000X | 35069631 | OH | Yes |
Addresses
Primary practice location
2212 Mifflin Avenue
Suite 130
Ashland, OH 44805
Mailing address
2212 Mifflin Avenue
Suite 130
Ashland, OH 44805
Phone (419) 289-8919
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0256379 | Medicaid | OH |
Other names
- Ashland ENT, Allergy & Hearing Aid Center
Other providers in Ashland, OH
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- Ashland Lifeline, LLC
- Ashland Medical Services
- Ashland Medical Services Inc
- Ashland OB-GYN LLC
- Ashland Parenting Plus
- Ashland Primary Care Inc
- Ashland Radiology Consultants Inc
- Ashland Surgical Associates, Inc
- Ashland University
All providers in Ashland, OH · Otolaryngology Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.