Organization Active NPI

ENT Professional Associates SC

  • Otology & Neurotology Physician
  • Ashland, WI
National Provider Identifier
1003807330
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otology & Neurotology PhysicianTaxonomy code 207YX0901X
Legal business name
ENT PROFESSIONAL ASSOCIATES SC
Practice address
1625 Maple LN
Ste 2
Ashland, WI 54806-3768
Phone
(715) 682-9311
Fax
(715) 682-2486
NPI assigned
Nov 4, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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

Authorized official

Name
James A Hamp, MDNPI 1740271071
Title
President / MD
Phone
(715) 682-9311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otology & Neurotology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0901X Primary

Addresses

Primary practice location

1625 Maple LN
Ste 2
Ashland, WI 54806-3768

Mailing address

1625 Maple LN
Ste 2
Ashland, WI 54806-3768
Phone (715) 682-9311

Other identifiers 1

IdentifierTypeStateIssuer
32666100MedicaidWI

National Provider Directory

National Provider Directory

Locations

1625 Maple Ln
Ste 2
Ashland, WI 54806
Phone (715) 682-9311

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": "1131062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317168000000",
    "number": "1003807330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 MAPLE LN",
            "address_2": "STE 2",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "548063768",
            "telephone_number": "715-682-9311",
            "fax_number": "715-682-2486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 MAPLE LN",
            "address_2": "STE 2",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "548063768",
            "telephone_number": "715-682-9311",
            "fax_number": "715-682-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENT PROFESSIONAL ASSOCIATES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-04",
        "last_updated": "2011-09-28",
        "status": "A",
        "authorized_official_last_name": "HAMP",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT / MD",
        "authorized_official_telephone_number": "715-682-9311",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32666100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.