Fayette Ear, Nose, Throat and Allergy PC

Primary specialty

Otolaryngic Allergy PhysicianTaxonomy code 207YX0602X

License

MD073010L Issued in PA

Legal business name

FAYETTE EAR, NOSE, THROAT AND ALLERGY PC

Practice address

110 Daniel Dr Ste 14
Uniontown, PA 15401-8002

Phone

(724) 430-0310

Fax

(724) 430-0314

NPI assigned

Sep 13, 2011

Organization subpart

No

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

Authorized official

Name

Ravindran Nadarajah, MD

Title

Owner

Phone

(724) 430-0310

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664323200000",
    "number": "1851673172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 WAYLAND SMITH DR STE 204",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154017500",
            "telephone_number": "724-430-0310",
            "fax_number": "724-430-0314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 DANIEL DR STE 14",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154018002",
            "telephone_number": "724-430-0310",
            "fax_number": "724-430-0314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYETTE EAR, NOSE, THROAT AND ALLERGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-13",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A",
        "authorized_official_last_name": "NADARAJAH",
        "authorized_official_first_name": "RAVINDRAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-430-0310",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0602X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "PA",
            "license": "MD073010L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fayette Co. Drug & Alcohol Commission, Inc.
• Fayette Co. Drug & Alcohol Commission, Inc.
• Fayette County Community Action Agency
• Fayette County Drug & Alcohol Commission
• Fayette County Mental Health Mental Retardation Program
• Fayette Lung and Sleep Center, PC
• Fayette Medical Associates Inc
• Fayette Medical Associates Inc
• Fayette OB/GYN
• Fayette OB/GYN, P.C.

• Otolaryngic Allergy Physician in Uniontown, PA
• Providers in Uniontown, PA by specialty
• Otolaryngic Allergy Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.