Summerlin Otology Inc
LBN: Summerlin Otology Inc
Summerlin Otology Inc is an health care organization with primary practice located at 3351 N Meridian St Suite 100, Indianapolis IN 46208-4674. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Otolaryngology is the primary health care specialty.
Summerlin Otology Inc can be contacted via phone (317) 923-5439, or through Summerlin, Jack D via phone (317) 923-5439.
Contact Information
Primary practice address
3351 N Meridian St Suite 100
Indianapolis IN 46208-4674
Phone: (317) 923-5439
Fax: (317) 923-4633
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 01017561 | Indiana |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
| NPI number | 1952388837 |
|---|---|
| LBN Legal business name | Summerlin Otology Inc |
| DBA Doing business as | |
| Authorized official | Summerlin, Jack D Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 30th, 2005 |
| Last updated | May 12th, 2008 - about 18 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952388837 | NPPES |
| Indiana | MEDICAID | 100119090A | |
| Indiana | Other | 041068120 | |
| Indiana | MEDICAID | 200891910A | |
| Indiana | MEDICAID | 100065670C |
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