Organization Active NPI

Hot Springs Clinic of Otolaryngology PA

  • Otolaryngology Physician
  • Hot Springs, AR
National Provider Identifier
1285660506
Registry record updated Apr 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
HOT SPRINGS CLINIC OF OTOLARYNGOLOGY PA
Practice address
307 Carpenter Dam Rd Ste N
Hot Springs, AR 71901-8282
Phone
(501) 624-5422
Fax
(501) 624-4602
NPI assigned
Jun 26, 2006
Last updated
Apr 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2011

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

Authorized official

Name
Eric D Monte, MDNPI 1649387622
Title
President
Phone
(501) 624-5422

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X NU Primary

Addresses

Primary practice location

307 Carpenter Dam Rd Ste N
Hot Springs, AR 71901-8282

Mailing address

307 Carpenter Dam Rd Ste N
Hot Springs, AR 71901-8282
Phone (501) 624-5422

Other identifiers 1

IdentifierTypeStateIssuer
102340002MedicaidAR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060719000344 AR Part B Supplier - Clinic/Group Practice 8729091665 Receives reassigned benefits from 2 practitioners
Practice locations: Hot Springs, AR

National Provider Directory

National Provider Directory

Locations

307 Carpenter Dam Rd
Ste N
Hot Springs National Park, AR 71901
Phone (501) 624-5422

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303171200000",
    "number": "1285660506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 CARPENTER DAM RD STE N",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719018282",
            "telephone_number": "501-624-5422",
            "fax_number": "501-624-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 CARPENTER DAM RD STE N",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719018282",
            "telephone_number": "501-624-5422",
            "fax_number": "501-624-4602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOT SPRINGS CLINIC OF OTOLARYNGOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2011-04-19",
        "status": "A",
        "authorized_official_last_name": "MONTE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-624-5422",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102340002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; 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.