NPIMap

Organization Active NPI

Hyannis Ear, Nose and Throat Assoc Inc

Doing business as Cosmetic Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Hyannis, MA
National Provider Identifier
1033369905
Registry record updated Mar 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
HYANNIS EAR, NOSE AND THROAT ASSOC INC
Doing business as
Cosmetic Surgery Center
Practice address
68 Camp St
Hyannis, MA 02601-3048
Phone
(508) 775-7026
Fax
(508) 771-0499
NPI assigned
Sep 26, 2008
Last updated
Mar 9, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
HYANNIS EAR, NOSE AND THROAT ASSOC INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 9, 2009

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

Authorized official

Name
Dr. John Nicholas Vandemoer, M.D.
Title
President
Phone
(508) 775-7026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

68 Camp St
Hyannis, MA 02601-3048

Mailing address

68 Camp St
Hyannis, MA 02601-3048
Phone (508) 775-7026

Other names 1

  • Cosmetic Surgery Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hyannis Ear Nose and Throat Assoc Inc2 organizations share this tax ID, including this one
Part of
Hyannis Ear Nose and Throat Assoc Inc

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236556800000",
    "number": "1033369905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 CAMP ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013048",
            "telephone_number": "508-775-7026",
            "fax_number": "508-771-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 CAMP ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013048",
            "telephone_number": "508-775-7026",
            "fax_number": "508-771-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYANNIS EAR, NOSE AND THROAT ASSOC INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HYANNIS EAR, NOSE AND THROAT ASSOC INC",
        "enumeration_date": "2008-09-26",
        "last_updated": "2009-03-09",
        "status": "A",
        "authorized_official_last_name": "VANDEMOER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-775-7026",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cosmetic Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hyannis, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.