Advanced Otolaryngology & Allergy LLC
Organization Active NPI Facial Plastic Surgery Physician · Hanover, PA
NPI 1992082226 · NPPES record last updated Feb 3, 2026
Key facts
- NPI
- 1992082226
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Facial Plastic Surgery Physician 207YS0123X
- License
- MD432200 (PA)
- Legal business name
- ADVANCED OTOLARYNGOLOGY & ALLERGY LLC
- Practice address
- 864 Broadway Ste 101
Hanover, PA 17331-1501 - Phone
- (717) 632-2221
- Fax
- (717) 965-7519
- NPI assigned
- Nov 15, 2011
- Organization subpart
- No
Authorized official
- Name
- Lori Eichelberger
- Title
- Interim Office Manager
- Phone
- (717) 632-2221
Other NPIs on the same Medicare enrollment 1
Subparts reporting this organization as parent 1
Practitioners 1
-
Zaher Srour, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120202000604 | PA | Part B Supplier - Clinic/Group Practice | 1456518463 |
Receives reassigned benefits from 1 practitioner 1 other NPI on this enrollment Practice locations: Hanover, PA |
National Provider Directory
Locations
864 Broadway
Hanover, PA 17331
Phone (717) 632-2221
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Procedural Dermatology Physician |
207NS0135X | |||
| Otolaryngology Physician |
207Y00000X | MD432200 | PA | |
| Facial Plastic Surgery Physician |
207YS0123X | MD432200 | PA | Yes |
| Hearing and Speech Clinic/Center | 261QH0700X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Urgent Care Clinic/Center | 261QU0200X | |||
| Hearing Aid Equipment | 332S00000X |
Addresses
Primary practice location
864 Broadway Ste 101
Hanover, PA 17331-1501
Mailing address
864 Broadway Ste 101
Hanover, PA 17331-1501
Phone (717) 632-2221
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11782821 | Other | PA | CAQH |
| MD432200 | Other | PA | LICENSE |
Other names
- Advanced ENT and Allergy
- Target Health Urgent Care
Other providers in Hanover, PA
- Addiction Management Center
- Michael Harris Ader
- Adefolaseyi L Aderotoye
- Christine Elizabeth Adkins
- Advanced Otolaryngology & Allergy LLC
- Kathryn Afflebach
- Blanche Kimbeng Afolabi
- Esther S Ajjarapu
- Kaitlyn Marie Akers
- Ayoola O Akinbamowo
All providers in Hanover, PA · Facial Plastic Surgery Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.