NPIMap

Organization Active NPI

General Otorhinolaryngological Foundation, Inc.

  • Otolaryngology Physician
  • Indianapolis, IN
National Provider Identifier
1992715452
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
GENERAL OTORHINOLARYNGOLOGICAL FOUNDATION, INC.
Practice address
705 Riley Hospital Dr
0860
Indianapolis, IN 46202-5128
Phone
(317) 630-8970
Fax
(317) 630-8958
NPI assigned
Aug 8, 2006
Last updated
Feb 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Authorized official

Name
Dr. Richard T. Miyamoto, M.D.NPI 1144258625
Title
President
Phone
(317) 630-8970

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X NU Primary

Addresses

Primary practice location

705 Riley Hospital Dr
0860
Indianapolis, IN 46202-5128

Mailing address

705 Riley Hospital Dr
0860
Indianapolis, IN 46202-5128
Phone (317) 630-8970

Other identifiers 1

IdentifierTypeStateIssuer
100048070MedicaidIN

National Provider Directory

National Provider Directory

Locations

1001 W 10th St
Fl Third
Indianapolis, IN 46202
Phone (317) 630-8970

702 Barnhill Dr
Ste 860
Indianapolis, IN 46202
Phone (317) 278-1259

705 Riley Hospital Dr
#860
Indianapolis, IN 46202
Phone (317) 630-8970

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1992715452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 RILEY HOSPITAL DR",
            "address_2": "0860",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025128",
            "telephone_number": "317-630-8970",
            "fax_number": "317-630-8958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 RILEY HOSPITAL DR",
            "address_2": "0860",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025128",
            "telephone_number": "317-630-8970",
            "fax_number": "317-630-8958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL OTORHINOLARYNGOLOGICAL FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "MIYAMOTO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-630-8970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100048070",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; 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.