OrganizationActive
Ent-Head & Neck & Facial Surgery PC
NPI 1922153709 · Otolaryngology Physician · Marion, IN
Provider details
- NPI number
- 1922153709
- Entity type
- Organization
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bert Goldburg, President(765) 671-7741
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1391 N Baldwin Ave
Marion, IN 46952-1913
Phone: (765) 671-7741
Fax: (765) 651-4272
Street-level locationGet directions
Mailing address
1391 N Baldwin Ave
Marion, IN 46952-1913
Registry dates
- Enumerated
- 2007-01-24
- Last updated
- 2008-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.