Fairmont ENT Associates Inc
NPI 1720055882ActiveOrganization· Otolaryngology· Fairmont, WV
Otolaryngology in Fairmont, West Virginia, registered in NPPES in March 2006. The authorized official on file is Joedy L. Daristotle, MD, President.
Overview
| NPI | 1720055882 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 7, 2006 |
| Last updated in NPPES | Oct 26, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Otolaryngology Primary | 207Y00000X | WV14772 | WV |
| Hearing Aid Equipment | 332S00000X | 398 | WV |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|