Active NPI
ENT Professional Associates SC
- Otology & Neurotology Physician
- Ashland, WI
National Provider Identifier
1003807330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otology & Neurotology Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James A Hamp, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Otology & Neurotology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32666100 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Otolaryngology Physician
- Ashland, WI
- NPI 1740271071
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.