Active NPI
Ear Nose and Throat Consultants and Hearing Services PLC
- Otolaryngology Physician
- Sioux City, IA
National Provider Identifier
1063636470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 34004
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 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
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Otolaryngology Physician
- Dakota Dunes, SD
- NPI 1114141546
O20070703000011
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Audiologist
- Sioux City, IA
- NPI 1881644946
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.