NPIMap

Organization Active NPI

Medical Center Ear, Nose and Throat Associates of Houston, PLLC

Doing business as Houston Sinus Center

  • Otolaryngology Physician
  • Houston, TX
National Provider Identifier
1124011465
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
MEDICAL CENTER EAR, NOSE AND THROAT ASSOCIATES OF HOUSTON, PLLC
Doing business as
Houston Sinus Center
Practice address
4101 Greenbriar St.
Suite #320
Houston, TX 77098-5296
Phone
(713) 795-0111
Fax
(713) 490-5987
NPI assigned
Aug 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Mr. Douglas O. Blackard, MS, MHA, CMPE
Title
Administrator
Phone
(713) 795-0111

Specialties & licenses 1

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

Addresses

Primary practice location

4101 Greenbriar St.
Suite #320
Houston, TX 77098-5296

Mailing address

4101 Greenbriar St.
Suite #320
Houston, TX 77098-5296
Phone (713) 795-0111

Other practice location 1

4308 Garth Rd Ste D
Baytown, TX 77521-3114
Phone (713) 795-0111

Other identifiers 1

IdentifierTypeStateIssuer
0844375-01MedicaidTX

Other names 1

  • Houston Sinus Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100201000242 TX Part B Supplier - Clinic/Group Practice 4284777178 Receives reassigned benefits from 7 practitioners
Practice locations: Baytown, TX; Houston, TX

National Provider Directory

National Provider Directory

Locations

1010 W Baker Rd
Ste 105
Baytown, TX 77521
Phone (281) 420-8957

4308 Garth Rd
Ste D
Baytown, TX 77521
Phone (713) 795-0111

6624 Fannin St
Ste 1500
Houston, TX 77030
Phone (713) 790-1321

Practitioners & affiliated clinicians

Practitioners 8

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": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1124011465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 GREENBRIAR ST.",
            "address_2": "SUITE #320",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770985296",
            "telephone_number": "713-795-0111",
            "fax_number": "713-795-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 GREENBRIAR ST.",
            "address_2": "SUITE #320",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770985296",
            "telephone_number": "713-795-0111",
            "fax_number": "713-490-5987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4308 Garth Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Baytown",
            "state": "TX",
            "postal_code": "775213114",
            "country_code": "US",
            "telephone_number": "713-795-0111",
            "fax_number": "713-490-5987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDICAL CENTER EAR, NOSE AND THROAT ASSOCIATES OF HOUSTON, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "BLACKARD",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-795-0111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, MHA, CMPE"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0844375-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Houston Sinus Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.