Organization Active NPI

Panhandle Ear Nose & Throat Associates LLP

  • Otolaryngology Physician
  • Amarillo, TX
National Provider Identifier
1275510737
Registry record updated Jan 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
PANHANDLE EAR NOSE & THROAT ASSOCIATES LLP
Practice address
3501 S Soncy Rd
Ste 140
Amarillo, TX 79119-6407
Phone
(806) 355-5625
Fax
(806) 352-2245
NPI assigned
Dec 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2009

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

Authorized official

Name
Mrs. Carol L Morrison
Title
Office Administrator
Phone
(806) 355-5625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X TX Primary

Addresses

Primary practice location

3501 S Soncy Rd
Ste 140
Amarillo, TX 79119-6407

Mailing address

3501 S Soncy Rd
Ste 140
Amarillo, TX 79119-6407
Phone (806) 355-5625

Other identifiers 3

IdentifierTypeStateIssuer
165089701MedicaidTX
0094JKOtherTXBCBS
CK5578OtherTXRR MEDICARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1135641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233014400000",
    "number": "1275510737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 S SONCY RD",
            "address_2": "STE 140",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196407",
            "telephone_number": "806-355-5625",
            "fax_number": "806-352-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 S SONCY RD",
            "address_2": "STE 140",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196407",
            "telephone_number": "806-355-5625",
            "fax_number": "806-352-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANHANDLE EAR NOSE & THROAT ASSOCIATES LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-27",
        "last_updated": "2009-01-27",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "806-355-5625",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165089701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0094JK",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CK5578",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.