Provider Demographics
NPI:1932374782
Name:EAR MEDICAL CENTER, INC.
Entity Type:Organization
Organization Name:EAR MEDICAL CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/MEDICAL DIRECTOR
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 1:606 WILSON CREEK RD
Practice Address - Street 2:STE 140
Practice Address - City:LAWRENCEBURG
Practice Address - State:IN
Practice Address - Zip Code:47025-1095
Practice Address - Country:US
Practice Address - Phone:812-537-0031
Practice Address - Fax:812-537-2015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-23
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01026640207YX0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & NeurotologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100094210AMedicaid
IN172180Medicare PIN