Provider Demographics
NPI:1457481673
Name:OHIO HEAD AND NECK INSTITUTE
Entity Type:Organization
Organization Name:OHIO HEAD AND NECK INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:GILBERT
Authorized Official - Last Name:OAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:440-498-9576
Mailing Address - Street 1:30455 SOLON RD
Mailing Address - Street 2:
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-3458
Mailing Address - Country:US
Mailing Address - Phone:440-498-9576
Mailing Address - Fax:440-498-9836
Practice Address - Street 1:30455 SOLON RD
Practice Address - Street 2:
Practice Address - City:SOLON
Practice Address - State:OH
Practice Address - Zip Code:44139-3458
Practice Address - Country:US
Practice Address - Phone:440-498-9576
Practice Address - Fax:440-498-9836
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH350745482084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty