NPIMap

Organization Active NPI

United Otolaryngology Associates, PLLC

  • Otology & Neurotology Physician
  • Austin, TX
National Provider Identifier
1053504878
Registry record updated Oct 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otology & Neurotology PhysicianTaxonomy code 207YX0901X
Legal business name
UNITED OTOLARYNGOLOGY ASSOCIATES, PLLC
Practice address
300 Beardsley LN
Suite D101
Austin, TX 78746-4945
Phone
(512) 338-9840
Fax
(512) 338-0863
NPI assigned
Aug 24, 2007
Last updated
Oct 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2010

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

Authorized official

Name
Dr. Kendal Lance Stewart, M.D.NPI 1225115876
Title
Chairman
Phone
(512) 338-9840

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU
Otology & Neurotology Physician 207YX0901X NU Primary

Addresses

Primary practice location

300 Beardsley LN
Suite D101
Austin, TX 78746-4945

Mailing address

300 Beardsley LN
Suite D101
Austin, TX 78746-4945
Phone (512) 338-9840

Other identifiers 1

IdentifierTypeStateIssuer
193801101MedicaidTX

National Provider Directory

National Provider Directory

Locations

300 Beardsley Ln
Ste D101
Austin, TX 78746
Phone (512) 338-9840

6836 Bee Caves Rd
Ste 180
Austin, TX 78746
Phone (512) 338-9480

6836 Bee Caves Rd
Ste 300
Austin, TX 78746
Phone (512) 338-9840

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288051200000",
    "number": "1053504878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BEARDSLEY LN",
            "address_2": "SUITE D101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787464945",
            "telephone_number": "512-338-9840",
            "fax_number": "512-338-0863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BEARDSLEY LN",
            "address_2": "SUITE D101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787464945",
            "telephone_number": "512-338-9840",
            "fax_number": "512-338-0863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED OTOLARYNGOLOGY ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-24",
        "last_updated": "2010-10-26",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "KENDAL",
        "authorized_official_middle_name": "LANCE",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "512-338-9840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193801101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.