Organization Active NPI

Metro Ear Nose and Throat

  • Specialist
  • Plano, TX
National Provider Identifier
1003124538
Registry record updated Apr 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
K8401 Issued in TX
Legal business name
METRO EAR NOSE AND THROAT
Practice address
6509 W Plano Pkwy
Plano, TX 75093-8209
Phone
(972) 781-1462
Fax
(972) 378-4125
NPI assigned
Sep 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Mayra Bermudez
Title
A/R Manager
Phone
(972) 781-1462

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X K8401 TX Primary

Addresses

Primary practice location

6509 W Plano Pkwy
Plano, TX 75093-8209

Mailing address

6509 W Plano Pkwy
Plano, TX 75093-8209
Phone (972) 781-1462

Other identifiers 1

IdentifierTypeStateIssuer
039138501MedicaidTX

Other names 1

  • EAR CONSULTANTS OF THE SW Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Metro Ear Nose and Throat Associates PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554681600000",
    "number": "1003124538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6509 W PLANO PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938209",
            "telephone_number": "972-781-1462",
            "fax_number": "972-378-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6509 W PLANO PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938209",
            "telephone_number": "972-781-1462",
            "fax_number": "972-378-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO EAR NOSE AND THROAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-17",
        "last_updated": "2019-04-08",
        "status": "A",
        "authorized_official_last_name": "BERMUDEZ",
        "authorized_official_first_name": "MAYRA",
        "authorized_official_title_or_position": "A/R MANAGER",
        "authorized_official_telephone_number": "972-781-1462",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "K8401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039138501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EAR CONSULTANTS OF THE SW",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EAR CONSULTANTS OF THE SW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.