Healthcare Provider Details

I. General information

NPI: 1134046139
Provider Name (Legal Business Name): OHIO EAR LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 OHIO DR
GROVE CITY OH
43123-4835
US

IV. Provider business mailing address

840 W ALEX BELL RD
DAYTON OH
45459-3102
US

V. Phone/Fax

Practice location:
  • Phone: 614-259-7451
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0901X
TaxonomyOtology & Neurotology Physician
License Number
License Number State

VIII. Authorized Official

Name: JAMES PRUETER
Title or Position: PHYSICIAN
Credential: DO
Phone: 614-259-7451