Metro Ear Nose and Throat Associates, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

K8401 Issued in TX

Legal business name

METRO EAR NOSE AND THROAT ASSOCIATES, PA

Practice address

6509 W Plano Pkwy
Plano, TX 75093-8209

Phone

(972) 781-1462

Fax

(972) 378-4125

NPI assigned

Jun 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert M Owens, MDNPI 1194792739

Title

Owner

Phone

(972) 781-1462

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

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

• Metro Ear Nose and Throat

  • Specialist
  • Plano, TX
  • NPI 1104136928

  O20041115000944

  Same enrollment
• Metro Ear Nose and Throat Associates, PA

  • Specialist
  • Fort Worth, TX
  • NPI 1053545277

  O20041115000944

  Same enrollment

Tax ID family

Metro Ear Nose and Throat Associates PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Metro Ear Nose and Throat

  • Specialist
  • Plano, TX
  • NPI 1003124538
  NPD tax ID
• Metro Ear Nose and Throat Associates, PA

  • Specialist
  • Fort Worth, TX
  • NPI 1053545277
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert M Owens, MD

  • Otology & Neurotology Physician
  • Plano, TX
  • NPI 1194792739
  Medicare reassignment Care Compare group NPD Authorized official
• Shannon L Williams, AU.D.

  • Audiologist-Hearing Aid Fitter
  • Plano, TX
  • NPI 1003077017
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599782400000",
    "number": "1184829707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6509 W PLANO PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938209",
            "telephone_number": "972-781-1462",
            "fax_number": "972-378-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6509 W PLANO PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938209",
            "telephone_number": "972-781-1462",
            "fax_number": "972-378-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO EAR NOSE AND THROAT ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-781-1462",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "K8401",
            "primary": true
        },
        {
            "code": "207YX0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081509401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039138501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130297804",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAILROAD MEDICARE",
            "identifier": "DE7751",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Plano, TX
• Providers in Plano, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; 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.