Vijay Adappa, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

35044940 Issued in OH

Practice address

1050 Isaac Streets Dr
Ste 137
Oregon, OH 43616-8203

Phone

(419) 698-4505

Fax

(419) 698-3806

NPI assigned

Jun 27, 2005

Last updated

Mar 9, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1902802648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 ISAAC STREETS DR",
            "address_2": "STE 137",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436168203",
            "telephone_number": "419-479-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 ISAAC STREETS DR",
            "address_2": "STE 137",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436168203",
            "telephone_number": "419-698-4505",
            "fax_number": "419-698-3806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAPPA",
        "first_name": "VIJAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OH",
            "license": "35044940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT INSURANCE",
            "identifier": "00602",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM INSURANCE",
            "identifier": "000000119432",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0435881",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Otolaryngology Physician in Oregon, OH
• Providers in Oregon, OH by specialty
• Otolaryngology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; 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.