Organization Active NPI

Hyannis Ear, Nose and Throat Associates, Inc.

  • Specialist
  • Hyannis, MA
National Provider Identifier
1295898831
Registry record updated Mar 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
36521 Issued in MA
Legal business name
HYANNIS EAR, NOSE AND THROAT ASSOCIATES, INC.
Practice address
68 Camp St
Hyannis, MA 02601-3048
Phone
(508) 771-5317
Fax
(508) 771-0499
NPI assigned
Dec 18, 2006
Last updated
Mar 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2011

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

Authorized official

Name
Dr. J Nicholas Vandemoer, M.D.
Title
President
Phone
(508) 771-5317

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 36521 MA Primary

Addresses

Primary practice location

68 Camp St
Hyannis, MA 02601-3048

Mailing address

68 Camp St
Hyannis, MA 02601-3048
Phone (508) 771-5317

Other identifiers 1

IdentifierTypeStateIssuer
9700471MedicaidMA

National Provider Directory

National Provider Directory
Tax ID family
Hyannis Ear Nose and Throat Associates Inc2 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.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300838400000",
    "number": "1295898831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 CAMP ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013048",
            "telephone_number": "508-771-5317",
            "fax_number": "508-771-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 CAMP ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013048",
            "telephone_number": "508-771-5317",
            "fax_number": "508-771-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYANNIS EAR, NOSE AND THROAT ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2011-03-23",
        "status": "A",
        "authorized_official_last_name": "VANDEMOER",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-771-5317",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "36521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9700471",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; 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.