NPIMap

Organization Active NPI

Houston Physician Specialists, LLC

  • Otolaryngology Physician
  • Warner Robins, GA
National Provider Identifier
1114480225
Registry record updated Apr 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
HOUSTON PHYSICIAN SPECIALISTS, LLC
Practice address
233 N Houston Rd Ste 171
Warner Robins, GA 31093-8841
Phone
(478) 352-4306
Fax
(478) 975-6652
NPI assigned
Apr 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2019

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

Authorized official

Name
Sean Steven Whilden
Title
Cfo
Phone
(478) 542-7959

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

233 N Houston Rd Ste 171
Warner Robins, GA 31093-8841

Mailing address

233 N Houston Rd Ste 171
Warner Robins, GA 31093-8841
Phone (478) 352-4306

Other names 1

  • Houston ENT Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170413001281 GA Part B Supplier - Clinic/Group Practice 6800172461 Receives reassigned benefits from 8 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bonaire, GA; Warner Robins, GA

Other NPIs on the same Medicare enrollment 8

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

National Provider Directory

National Provider Directory

Locations

233 N Houston Rd
Ste 171
Warner Robins, GA 31093
Phone (478) 352-7050

NPI Registry JSON

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554681600000",
    "number": "1114480225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 N HOUSTON RD STE 171",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310938841",
            "telephone_number": "478-352-4306",
            "fax_number": "478-975-6652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 N HOUSTON RD STE 171",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310938841",
            "telephone_number": "478-352-4306",
            "fax_number": "478-975-6652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON PHYSICIAN SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-08",
        "last_updated": "2019-04-08",
        "status": "A",
        "authorized_official_last_name": "WHILDEN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "478-542-7959"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Houston ENT Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; 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.