Provider Demographics
NPI:1326081399
Name:UNIVERSITY EAR, NOSE AND THROAT SPECIALISTS, INC.
Entity Type:Organization
Organization Name:UNIVERSITY EAR, NOSE AND THROAT SPECIALISTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:FUSSINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-475-8400
Mailing Address - Street 1:PO BOX 631380
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-4231
Mailing Address - Country:US
Mailing Address - Phone:513-475-8400
Mailing Address - Fax:513-475-8228
Practice Address - Street 1:222 PIEDMONT AVE
Practice Address - Street 2:SUITE 5200
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219
Practice Address - Country:US
Practice Address - Phone:513-475-8400
Practice Address - Fax:513-475-8228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-14
Last Update Date:2009-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9921674Medicare PIN
OH9921673Medicare PIN
OH9921672Medicare PIN
OHCE6208Medicare PIN
OH9921675Medicare PIN
OH9921671Medicare PIN
OH0948410001Medicare NSC
OHCC3432Medicare PIN