Provider Demographics
NPI:1023044732
Name:ENT GROUP, LLC
Entity Type:Organization
Organization Name:ENT GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:CURRY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:317-745-3758
Mailing Address - Street 1:100 HOSPITAL LANE
Mailing Address - Street 2:SUITE 220
Mailing Address - City:DANVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46122-1989
Mailing Address - Country:US
Mailing Address - Phone:317-745-3758
Mailing Address - Fax:317-745-3749
Practice Address - Street 1:100 HOSPITAL LANE
Practice Address - Street 2:SUITE 220
Practice Address - City:DANVILLE
Practice Address - State:IN
Practice Address - Zip Code:46122-1989
Practice Address - Country:US
Practice Address - Phone:317-745-3758
Practice Address - Fax:317-745-3749
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-24
Last Update Date:2018-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174400000X
IN174400000X, 207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000105044OtherBLUE CROSS BLUE SHIELD
IN200309960AMedicaid
INCN7773OtherRAILROAD MEDICARE
IN198710Medicare PIN
IN000000105044OtherBLUE CROSS BLUE SHIELD