Dubuque ENT Head & Neck Surgery P.C.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

DUBUQUE ENT HEAD & NECK SURGERY P.C.

Practice address

535 Cedar Cross Road
Dubuque, IA 52003-7704

Phone

(563) 588-0506

Fax

(563) 588-0451

NPI assigned

Nov 10, 2005

Organization subpart

No

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

Authorized official

Name

Thomas James Benda Jr., M.D.NPI 1003897554

Title

Partner

Phone

(563) 588-0506

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IA, WI2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DIIIBA

Practitioners 7

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

• Thomas James Benda Jr., M.D.

  • Otolaryngology Physician
  • Dubuque, IA
  • NPI 1003897554

  WI

  Medicare reassignment Care Compare group Authorized official
• Taylor Ann Schaul, AUD

  • Audiologist
  • Dubuque, IA
  • NPI 1891433926
  Medicare reassignment Care Compare group NPD
• Daniel Justin Givens, M.D.

  • Otolaryngology Physician
  • Dubuque, IA
  • NPI 1821223165

  WI

  Medicare reassignment Care Compare group
• Justin W Hunn

  • Physician Assistant
  • Dubuque, IA
  • NPI 1962164624
  Medicare reassignment Care Compare group
• Katelynn Knipper, PAC

  • Physician Assistant
  • Dubuque, IA
  • NPI 1700452117
  Medicare reassignment Care Compare group
• Katie Knapp

  • Physician Assistant
  • Dubuque, IA
  • NPI 1639478357
  NPD
• Kathryn Coyle

  • Speech-Language Pathologist
  • Dubuque, IA
  • NPI 1639303696
  NPD (past)

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564531200000",
    "number": "1235110685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 CEDAR CROSS ROAD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520037704",
            "telephone_number": "563-588-0506",
            "fax_number": "563-588-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 CEDAR CROSS ROAD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520037704",
            "telephone_number": "563-588-0506",
            "fax_number": "563-588-0451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUBUQUE ENT HEAD & NECK SURGERY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-10",
        "last_updated": "2019-07-31",
        "status": "A",
        "authorized_official_last_name": "BENDA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "563-588-0506",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS IA",
            "identifier": "07027",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0070276",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEAN HEALTH PLAN",
            "identifier": "547049",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Otolaryngology Physician in Dubuque, IA
• Providers in Dubuque, IA by specialty
• Otolaryngology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.