Provider Demographics
NPI:1255521605
Name:EAR MEDICAL CENTER, INC.
Entity type:Organization
Organization Name:EAR MEDICAL CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:CLAUDE
Authorized Official - Middle Name:PIERRE
Authorized Official - Last Name:HOBEIKA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-385-5000
Mailing Address - Street 1:6527 COLERAIN AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45239-5537
Mailing Address - Country:US
Mailing Address - Phone:513-385-5000
Mailing Address - Fax:513-245-5462
Practice Address - Street 1:6527 COLERAIN AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45239-5537
Practice Address - Country:US
Practice Address - Phone:513-385-5000
Practice Address - Fax:513-245-5462
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-31
Last Update Date:2007-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-031279207YX0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & NeurotologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0095481Medicaid
OHA7336Medicare UPIN