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Head and Neck Surgery Associates, Psc

Otolaryngology Physician in Fort Thomas, KY · enumerated 2006 · authorized official Jessica Detrick, Coo.

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

National Provider Identifier

1760569545

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Registry record

Entity type Organization (Type 2)
Legal business name Head and Neck Surgery Associates, Psc
Other name <Unavail>
Practice address 40 N Grand Ave, Suite 101, Fort Thomas, KY, 41075
Fax (859) 572-3045
Enumeration date Nov 1, 2006
Last updated in NPPES Oct 18, 2019

Taxonomy & classification

207YP0228X Pediatric Otolaryngology Physician Allopathic & Osteopathic Physicians Secondary
207YX0602X Otolaryngic Allergy Physician Allopathic & Osteopathic Physicians Secondary
207YX0901X Otology & Neurotology Physician Allopathic & Osteopathic Physicians Secondary
231H00000X Audiologist Speech, Language and Hearing Service Providers Secondary
237700000X Hearing Instrument Specialist Speech, Language and Hearing Service Providers Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
207Y00000X Otolaryngology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Jessica Detrick
Title Coo

Other identifiers

Identifier Type State Issuer
100015770 Medicaid IN -
7100266460 Medicaid KY -
701342 Medicaid OH -
65917965 Medicaid KY -

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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-10-18. Verify at npiregistry.cms.hhs.gov.
Where is Head and Neck Surgery Associates, Psc located?
The practice location on file with NPPES is in Fort Thomas, KY.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-10-18.