Organization Active NPI

Ear Nose and Throat Consultants and Hearing Services PLC

  • Otolaryngology Physician
  • Sioux City, IA
National Provider Identifier
1063636470
Registry record updated Aug 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
34004 Issued in IA
Legal business name
EAR NOSE AND THROAT CONSULTANTS AND HEARING SERVICES PLC
Practice address
2916 Hamilton Blvd
Lower C Suite 103
Sioux City, IA 51104-2429
Phone
(712) 252-1201
Fax
(712) 252-0512
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2007

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

Authorized official

Name
Dr. Thomas J Kenny IV, M.D.
Title
President
Phone
(712) 252-5203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 34004 IA Primary

Addresses

Primary practice location

2916 Hamilton Blvd
Lower C Suite 103
Sioux City, IA 51104-2429

Mailing address

2916 Hamilton Blvd
Lower C Suite 103
Sioux City, IA 51104-2429
Phone (712) 252-1201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070703000011 IA Part B Supplier - Clinic/Group Practice 9335249457 Receives reassigned benefits from 13 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Clive, IA; Sioux City, IA; Le Mars, IA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

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": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186617600000",
    "number": "1063636470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 HAMILTON BLVD",
            "address_2": "LOWER C SUITE 103",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511042429",
            "telephone_number": "712-252-1201",
            "fax_number": "712-252-0512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2916 HAMILTON BLVD",
            "address_2": "LOWER C SUITE 103",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511042429",
            "telephone_number": "712-252-1201",
            "fax_number": "712-252-0512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR NOSE AND THROAT CONSULTANTS AND HEARING SERVICES PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-08-09",
        "status": "A",
        "authorized_official_last_name": "KENNY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-252-5203",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "IA",
            "license": "34004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.