FAIRMONT ENT ASSOCIATES INC – NPI #1720055882
Otolaryngology

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

FAIRMONT ENT ASSOCIATES INC is an otolaryngologist located in FAIRMONT, WV. NPPES has assigned the NPI number 1720055882 to FAIRMONT ENT ASSOCIATES INC on March 07, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Y00000X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology.

The NPI profile was previously updated about 14 years ago on Oct 26, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FAIRMONT ENT ASSOCIATES INC below.

NPI Profile for
FAIRMONT ENT ASSOCIATES INC

NPI Number
1720055882
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FAIRMONT ENT ASSOCIATES INC
Primary location
1712 LOCUST AVE
FAIRMONT, WV 26554
Phone: (304) 366-6157 Fax: (304) 366-0177
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOEDY DARISTOTLE
PRESIDENT
Phone: (304) 366-6157
Updated
Identifiers

Identifiers for FAIRMONT ENT ASSOCIATES INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDWV0008704000
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Y00000X
- Otolaryngology (Primary)
WV WV14772
332S00000X
- Hearing Aid Equipment
WV 398

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.