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Contact Information

CHMC OTOLARYNGOLOGIC FOUNDATION, INC
300 LONGWOOD AVE
BOSTON, MA02115-5724
 Phone: 617-355-6460
 Fax: 617-730-0611
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Audiologist

231H00000X 64 Audiologist
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Pediatric Otolaryngology

207YP0228X 04 Physician/Otolaryngology
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CHMC OTOLARYNGOLOGIC FOUNDATION, INC

NPI Number 1124118229
LBN Legal business name CHMC OTOLARYNGOLOGIC FOUNDATION, INC
Authorized official KATHLEEN HICKEY - (PROVIDER ENROLLMENT MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/13/2006
Last updated 12/11/2025 - About 6 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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