CMS-1500 Box 24J / 33a • NPI
1457705717
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
207Y00000X (CMS 04)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology
Box 32 Service Location & ZIP+4
864 BROADWAY STE 101, HANOVER, PA, 17331-1501
✓ 9-Digit EDI 837 ZIP+4 (17331-1501)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1457705717 (ADVANCED OTOLARYNGOLOGY & ALLERGY LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1457705717 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ADVANCED OTOLARYNGOLOGY & ALLERGY LLC |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology NUCC Code: 207Y00000X (Otolaryngology) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 864 BROADWAY STE 101, HANOVER, PA, 17331-1501 |
| Practice Telephone / Fax | Tel: (717) 632-5050 | Fax: (717) 965-7519 |
| Administrative Mailing Address | 864 BROADWAY, HANOVER, PA, 17331-1501 |
| Enumeration & Last Sync | Enumerated: 2016-04-22 | CMS Record Updated: 2026-02-03 |
| Authorized Official | ZAHER SROUR (MD) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (207Y00000X)
What Does Taxonomy Code 207Y00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207Y00000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ADVANCED OTOLARYNGOLOGY & ALLERGY LLC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207YS0123X — Otolaryngology, Facial Plastic SurgeryPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Facial Plastic Surgery | State: N/A | License: Verified | Primary: Secondary |
261QM1300X — Clinic/Center, Multi-SpecialtyPlain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: N/A | License: Verified | Primary: Secondary |
261QU0200X — Clinic/Center, Urgent CarePlain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: N/A | License: Verified | Primary: Secondary |
261QH0700X — Clinic/Center, Hearing and SpeechPlain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: N/A | License: Verified | Primary: Secondary |
207Y00000X — OtolaryngologyPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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