Active NPI
Midwest Ear Nose & Throat Head & Neck Surgery of Owensboro PSC
- Otolaryngology Physician
- Owensboro, KY
National Provider Identifier
1932139235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- MIDWEST EAR NOSE & THROAT HEAD & NECK SURGERY OF OWENSBORO PSC
- Practice address
- 2841 New Hartford Rd
Owensboro, KY 42303 - Phone
- (270) 691-6161
- Fax
- (270) 926-2364
- NPI assigned
- Jul 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas C Logan
- Title
- Physician Owner
- Phone
- (270) 691-6161
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | Primary | ||
| Pediatric Otolaryngology Physician | 207YP0228X | |||
| Facial Plastic Surgery Physician | 207YS0123X | |||
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | |||
| Otolaryngic Allergy Physician | 207YX0602X | |||
| Physical Therapist | 225100000X |
Addresses
Primary practice location
2841 New Hartford Rd
Owensboro, KY 42303
Mailing address
2841 New Hartford Rd
Owensboro, KY 42303-1320
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D2296421 | Midwest Ear, Nose, and Throat Dba | Certificate of waiver | Dec 27, 2027 |
National Provider Directory
National Provider DirectoryLocations
2811 New Hartford Rd
Ste C
Owensboro, KY 42303
Phone (270) 240-2246
2841 New Hartford Rd
Owensboro, KY 42303
Phone (270) 691-6161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1551052800000",
"number": "1932139235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2841 NEW HARTFORD RD",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423031320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2841 NEW HARTFORD RD",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "42303",
"telephone_number": "270-691-6161",
"fax_number": "270-926-2364"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWEST EAR NOSE & THROAT HEAD & NECK SURGERY OF OWENSBORO PSC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-03",
"last_updated": "2019-02-25",
"status": "A",
"authorized_official_last_name": "LOGAN",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PHYSICIAN OWNER",
"authorized_official_telephone_number": "270-691-6161"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207YP0228X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Pediatric Otolaryngology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207YS0123X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207YX0007X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": null,
"license": null,
"primary": false
},
{
"code": "207YX0602X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Otolaryngic Allergy",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Owensboro, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.