Otolaryngology and Facial Surgery Center of Northeast Ark PA

Primary specialty

AudiologistTaxonomy code 231H00000X

Legal business name

OTOLARYNGOLOGY AND FACIAL SURGERY CENTER OF NORTHEAST ARK PA

Doing business as

Ofsc

Practice address

621 E Matthews Ave
Jonesboro, AR 72401-3145

Phone

(870) 932-6799

NPI assigned

Mar 28, 2014

Organization subpart

Yes

Parent organization

OTOLARYNGOLOGOY AND FACIAL SURGERY CENTER OF NORTHEAST ARK PAAs reported in NPPES

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

Authorized official

Name

Rosie Young

Title

Office Manager

Phone

(870) 931-7648

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• OFSC Doing business as

Tax ID family

NE Arkansas Otolaryngology Facial Surgery P a2 organizations share this tax ID, including this one

Part of

NE Arkansas Otolaryngology Facial Surgery P a

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• NE Arkansas Otolaryngology Facial Surgery P a

  dba Otolaryngology and Facial Surgery Centre

  • Otolaryngology/Facial Plastic Surgery Physician
  • Jonesboro, AR
  • NPI 1659340297
  NPD tax ID

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

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395964800000",
    "number": "1922425818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 E MATTHEWS AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013145",
            "telephone_number": "870-932-6799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 E MATTHEWS AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013145",
            "telephone_number": "870-932-6799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTOLARYNGOLOGY AND FACIAL SURGERY CENTER OF NORTHEAST ARK PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OTOLARYNGOLOGOY AND FACIAL SURGERY CENTER OF NORTHEAST ARK PA",
        "enumeration_date": "2014-03-28",
        "last_updated": "2014-03-28",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "ROSIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "870-931-7648"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "AR",
            "license": null,
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "AR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "199654720",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OFSC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Victoria Laci Osment, OTR/L
• Wesley Osment, PHARMD
• Olivia Katharina Ostermann, DO
• Chioma Orie Ota, LCSW
• Chukwuemeka I Ota
• Ernest Ott, CRNA
• Otto Bock Patient Care, LLC
• Otto Bock Patient Care, LLC
• Ruby Lee Outley, MHPP
• Outpatient Surgery Center of Jonesboro LLC

• Audiologist in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Audiologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; 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.