Basic Information
| Provider Information | |||||||||
| NPI: | 1700873536 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | FINDLAY EAR, NOSE & THROAT ASSOCIATES, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1110 W MAIN CROSS ST | ||||||||
| Address2: | |||||||||
| City: | FINDLAY | ||||||||
| State: | OH | ||||||||
| PostalCode: | 458402423 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4194241393 | ||||||||
| FaxNumber: | 4194243424 | ||||||||
| Practice Location | |||||||||
| Address1: | 1110 W MAIN CROSS ST | ||||||||
| Address2: | |||||||||
| City: | FINDLAY | ||||||||
| State: | OH | ||||||||
| PostalCode: | 458402423 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4194241393 | ||||||||
| FaxNumber: | 4194243424 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/06/2005 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | ROBERTSON | ||||||||
| AuthorizedOfficialFirstName: | JAMES | ||||||||
| AuthorizedOfficialMiddleName: | RICHARD | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 4194241393 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Y00000X | OH | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Otolaryngology |
ID Information
| ID | Type | State | Issuer | Description | 0290840 | 05 | OH | MEDICAID |