L.B. TUBERGEN, MD, LLC
NPI 1093839664
Otolaryngology - Otology & Neurotology in Indianapolis, IN

Active since March 19, 2007
5620 CRAWFORDSVILLE RD STE K, INDIANAPOLIS, IN 46224(317) 243-2888 Get Directions Write a Review

NPPES record last updated: July 16, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Otolaryngology
  • Otology & Neurotology

About L.B. TUBERGEN, MD, LLC

This page provides the complete NPI Profile along with additional information for L.b. Tubergen, Md, Llc, a provider established in Indianapolis, Indiana operating as a Otolaryngology, focusing in otology & neurotology . The healthcare provider is registered in the NPI registry with number 1093839664 assigned on March 2007. The practitioner's primary taxonomy code is 207YX0901X with license number 01025706 (IN). The provider is registered as an organization and their NPI record was last updated 19 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. L B Tubergen Md (President)

NPI
1093839664 Verify this NPI
Provider Name
L.B. TUBERGEN, MD, LLC
Entity Type
Organization
Location Address
5620 CRAWFORDSVILLE RD STE K INDIANAPOLIS, IN 46224
Location Phone
(317) 243-2888
Mailing Address
6534 BERGESON CT INDIANAPOLIS, IN 46278
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-19-2007
Last Update Date
07-16-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Otolaryngology Otology & Neurotology

Taxonomy Code
207YX0901X
Type
Allopathic & Osteopathic Physicians
License No.
01025706
License State
IN
Taxonomy Description
An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. L B TUBERGEN MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(317) 243-2888

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093839664, enumerated as an "organization" on March 19, 2007.

The provider is located at 5620 CRAWFORDSVILLE RD STE K INDIANAPOLIS, IN 46224 and the phone number is (317) 243-2888.

Otolaryngology with taxonomy code 207YX0901X and a focus in Otology & Neurotology.