EAR NOSE AND THROAT CLINIC – NPI #1669702106
Otolaryngology

An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

EAR NOSE AND THROAT CLINIC is an otolaryngologist located in DYER, IN. NPPES has assigned the NPI number 1669702106 to EAR NOSE AND THROAT CLINIC on January 06, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “EAR NOSE AND THROAT CLINIC” is a dba name, the actual legal business name for this organization is ST MARGARET MERCY HEALTHCARE CENTERS, INC. The primary taxonomy selected by this provider is 207YX0905X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery

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 EAR NOSE AND THROAT CLINIC below.

NPI Profile for
ST MARGARET MERCY HEALTHCARE CENTERS, INC

NPI Number
1669702106
Enumeration Date

(more than 16 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
ST MARGARET MERCY HEALTHCARE CENTERS, INC
Doing Business As (dba): EAR NOSE AND THROAT CLINIC
Primary location
24 JOLIET ST STE 101
DYER, IN 46311-1705
Phone: (219) 864-2059 Fax: (219) 864-2644
Mailing address
PO BOX 1000
DYER, IN 46311-0800
Phone: (219) 864-2268 Fax: (219) 864-2649
Organization Subpart
No
Authorized Official
HEATHER MAPLE
CONTROLLER
Phone: (219) 932-2300
Updated
Identifiers

Identifiers for EAR NOSE AND THROAT CLINIC

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
MEDICAIDIN200504980
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
207YX0905X
- Otolaryngology / Otolaryngology/Facial Plastic Surgery (Primary)
IN 02000967A

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.