Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northeast Otolaryngology, PC

Organization Otolaryngology Physician · NPI 1417903774

Northeast Otolaryngology, PC is an Otolaryngology Physician in Noblesville, Indiana. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

18000 River Ave
Noblesville, IN 46062-8329
Phone: (317) 621-6673
Fax: (317) 621-3073
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X
Otolaryngic Allergy Physician Taxonomy 207YX0602X

Record details

NPI number1417903774
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jodine Staebler — Practice Administrator · (317) 621-6673
NPI enumeratedMay 26, 2006
Last updated in NPPESMarch 10, 2015
Mailing address18000 River Ave, Noblesville, IN 46062-8329

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