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

Sage Otolaryngology PLLC

Organization Otolaryngology Physician · NPI 1548378680

Sage Otolaryngology PLLC is an Otolaryngology Physician in Powderly, Kentucky. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1010 Medical Center Dr
Powderly, KY 42367-5463
Phone: (917) 846-4617
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X

Record details

NPI number1548378680
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Boris Chernobilsky — Member · (917) 846-4617
NPI enumeratedAugust 28, 2006
Last updated in NPPESJune 9, 2010
Mailing address10440 Queens Blvd, 11v, Forest Hills, NY 11375-3637