Organization
OTOLARYNGOLOGY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS H FAIRCHILD M.D. (PRESIDENT)
(317) 844-7059
Entity
Organization
Contact information
Practice address
9002 NORTH MERIDIAN STREET, SUITE 222, INDIANAPOLIS, IN 46260-5350
(317) 573-4370
(317) 819-0044
Mailing address
9002 NORTH MERIDIAN STREET, SUITE 222, INDIANAPOLIS, IN 46260-5350
(317) 573-4370
(317) 819-0044
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100057100
—
IN
05
—
200838770
—
IN
01
—
CC1971
MEDICARE RAILROAD
IN
Enumeration date
02/01/2007
Last updated
07/23/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us