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Fairmont Ent Associates Inc

Otolaryngology Physician in Fairmont, WV · enumerated 2006 · authorized official Joedy Daristotle, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1720055882

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Registry record

Entity type Organization (Type 2)
Legal business name Fairmont Ent Associates Inc
Practice address 1712 Locust Ave, Fairmont, WV, 26554
Fax (304) 366-0177
Enumeration date Mar 7, 2006
Last updated in NPPES Oct 26, 2012

Taxonomy & classification

207Y00000X Otolaryngology Physician Allopathic & Osteopathic Physicians · License WV14772 (WV) Primary
332S00000X Hearing Aid Equipment Suppliers · License 398 (WV) Secondary

Authorized official

Name Joedy Daristotle
Title President

Other identifiers

Identifier Type State Issuer
0008704000 Medicaid WV -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Fairmont Ent Associates Inc?
The NPI for Fairmont Ent Associates Inc is 1720055882, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Fairmont Ent Associates Inc?
NPPES lists Joedy Daristotle (President) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-10-26.