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:
Map and Directions
Authorized official contact:
Name: Summerlin, Jack D Doctor of Medicine (MD)
Phone: (317) 923-5439

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1952388837 NPPES
Indiana MEDICAID 100119090A
Indiana Other 041068120
Indiana MEDICAID 200891910A
Indiana MEDICAID 100065670C

Popular Providers