Ear, Nose & Throat Associates, PC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

50000001A Issued in IN

Legal business name

EAR, NOSE & THROAT ASSOCIATES, PC

Practice address

10021 Dupont Circle CT
Fort Wayne, IN 46825-1604

Phone

(260) 426-8117

Fax

(260) 420-0817

NPI assigned

Dec 22, 2005

Last updated

Jan 8, 2013By 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

Brian D. Herr, MDNPI 1700888575

Title

Partner/President

Phone

(260) 426-8117

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN, OH2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 45

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.

• Brian D Herr, M.D.

  • Otolaryngology Physician
  • Fort Wayne, IN
  • NPI 1700888575
  Medicare reassignment Care Compare group Authorized official
• Emily A. Biehl, AUDIOLOGIST

  • Audiologist
  • Fort Wayne, IN
  • NPI 1407007008

  OH

  Medicare reassignment Care Compare group NPD
• Larry Nathaniel Blankenship, AUD

  • Audiologist
  • Fort Wayne, IN
  • NPI 1427944743
  Medicare reassignment Care Compare group NPD
• Kelley Christoffel

  • Family Nurse Practitioner
  • Fort Wayne, IN
  • NPI 1043031693
  Medicare reassignment Care Compare group NPD
• Charlene E Cordes, MA

  • Audiologist
  • Fort Wayne, IN
  • NPI 1477539690
  Medicare reassignment Care Compare group NPD
• Kathryn G Drummond, AU.D

  • Audiologist
  • Fort Wayne, IN
  • NPI 1275100992
  Medicare reassignment Care Compare group NPD
• Brandon Emry

  • Nurse Practitioner
  • Fort Wayne, IN
  • NPI 1164938007
  Medicare reassignment Care Compare group NPD
• Amanda R Graves

  • Speech-Language Pathologist
  • Fort Wayne, IN
  • NPI 1134370588
  Medicare reassignment Care Compare group NPD
• Thomas W. Herendeen, MD

  • Otolaryngology/Facial Plastic Surgery Physician
  • Fort Wayne, IN
  • NPI 1356333272
  Medicare reassignment Care Compare group NPD
• Heidi N Hesseling, APRN

  • Nurse Practitioner
  • Fort Wayne, IN
  • NPI 1770242083

  OH

  Medicare reassignment Care Compare group NPD
• Joshua Ryan Holley, FNP-BC

  • Family Nurse Practitioner
  • Fort Wayne, IN
  • NPI 1780106096
  Medicare reassignment Care Compare group NPD
• Laura Lee Johnson, MA CCCA

  • Audiologist
  • Fort Wayne, IN
  • NPI 1669400321
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357603200000",
    "number": "1851377691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10021 DUPONT CIRCLE CT",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251604",
            "telephone_number": "260-426-8117",
            "fax_number": "260-420-0817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10021 DUPONT CIRCLE CT",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251604",
            "telephone_number": "260-426-8117",
            "fax_number": "260-420-0817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR, NOSE & THROAT ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-22",
        "last_updated": "2013-01-08",
        "status": "A",
        "authorized_official_last_name": "HERR",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PARTNER/PRESIDENT",
        "authorized_official_telephone_number": "260-426-8117",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IN",
            "license": "50000001A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0751833",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100050300",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Otolaryngology Physician in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Otolaryngology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.