Organization Active NPI

ENT Allergy & Sinus Center, Inc.

  • Otolaryngology Physician
  • Dover, OH
National Provider Identifier
1821299090
Registry record updated Sep 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
35-072946 Issued in OH
Legal business name
ENT ALLERGY & SINUS CENTER, INC.
Practice address
335 Oxford St
Suite a
Dover, OH 44622-1970
Phone
(330) 602-8833
Fax
(330) 602-8832
NPI assigned
May 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2009

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

Authorized official

Name
Dr. David M Hartman, M.D.
Title
Physician
Phone
(330) 602-8833

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 35-072946 OH Primary

Addresses

Primary practice location

335 Oxford St
Suite a
Dover, OH 44622-1970

Mailing address

335 Oxford St
Suite a
Dover, OH 44622-1970
Phone (330) 602-8833

Other identifiers 1

IdentifierTypeStateIssuer
2330776MedicaidOH

National Provider Directory

National Provider Directory

Locations

200 Medical Park Dr
Ste A
Dover, OH 44622
Phone (330) 602-8833

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251763200000",
    "number": "1821299090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 OXFORD ST",
            "address_2": "SUITE A",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446221970",
            "telephone_number": "330-602-8833",
            "fax_number": "330-602-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 OXFORD ST",
            "address_2": "SUITE A",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446221970",
            "telephone_number": "330-602-8833",
            "fax_number": "330-602-8832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENT ALLERGY & SINUS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2009-09-01",
        "status": "A",
        "authorized_official_last_name": "HARTMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "330-602-8833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "OH",
            "license": "35-072946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2330776",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; 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.