Midwest Ear Nose & Throat Specialists PC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

MIDWEST EAR NOSE & THROAT SPECIALISTS PC

Practice address

2115 N Kansas Ave
Suite 203
Hastings, NE 68901

Phone

(402) 463-2431

Fax

(402) 463-2486

NPI assigned

Sep 26, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Vaughan Richard Bowen, MDNPI 1376520049

Title

President Owner

Phone

(402) 463-2431

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Tax ID family

Midwest Ear Nose Throat Specialists PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Midwest Ear Nose & Throat Specialists PC

  • Otolaryngology Physician
  • Smith Center, KS
  • NPI 1356524433
  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, and the practitioner matching its NPPES authorized official.

• Mark L Keller, M.D.

  • Otolaryngology Physician
  • Hastings, NE
  • NPI 1790762110
  Medicare reassignment NPD
• Vaughan Richard Bowen, MD

  • Otolaryngology Physician
  • Rapid City, SD
  • NPI 1376520049
  NPD (past) Authorized official

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215038625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 N KANSAS AVE",
            "address_2": "SUITE 203",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "68901",
            "telephone_number": "402-463-2431",
            "fax_number": "402-463-2486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 N KANSAS AVE",
            "address_2": "SUITE 203",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "68901",
            "telephone_number": "402-463-2431",
            "fax_number": "402-463-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST EAR NOSE & THROAT SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "VAUGHAN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "402-463-2431",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01949",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Suzanne Meyer
• Haylee Marie Meyers
• Gregory A Micek, DDS
• John Patrick Middleton
• Theresa Marie Middleton
• Midwest Homestead of Hastings Operations LLC
• Christina Miller, PTA
• James W Miller, MD
• Martin Konantz Miller, LIMHP, LADC
• Maylin Mirabal

• Otolaryngology Physician in Hastings, NE
• Providers in Hastings, NE by specialty
• Otolaryngology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.