Heaton Ear Nose and Throat Associates of East Texas P a

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

HEATON EAR NOSE AND THROAT ASSOCIATES OF EAST TEXAS P A

Doing business as

ENT Associates of East Texas

Practice address

1136 E Grande Blvd
Tyler, TX 75703-3982

Phone

(903) 592-5601

Fax

(903) 595-3304

NPI assigned

Feb 12, 2007

Last updated

Mar 22, 2019By 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

Jessica Gamble

Title

Billing Manager

Phone

(903) 592-5601

Specialties & licenses 1

Addresses

Other names 1

• ENT Associates of East Texas Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 20

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.

• Timothy Dale

  • Otolaryngology Physician
  • Tyler, TX
  • NPI 1316478662
  Medicare reassignment Care Compare group NPD
• Daniel Adam Glass, M.D.

  • Otolaryngology Physician
  • Tyler, TX
  • NPI 1487839981
  Medicare reassignment Care Compare group NPD
• Monica Jane Hardee, MD

  • Otolaryngology Physician
  • Tyler, TX
  • NPI 1285609883
  Medicare reassignment Care Compare group NPD
• Jessica L. Hefner, FNP

  • Family Nurse Practitioner
  • Tyler, TX
  • NPI 1194244269
  Medicare reassignment Care Compare group NPD
• Brian Reilly Langford, M.D.

  • Otolaryngology Physician
  • Tyler, TX
  • NPI 1891051827
  Medicare reassignment Care Compare group NPD
• Andrew J Lehr, M.D.

  • Otolaryngology Physician
  • Tyler, TX
  • NPI 1518906809
  Medicare reassignment Care Compare group NPD
• Michael Ross Lewis Jr., MD

  • Otolaryngology Physician
  • Tyler, TX
  • NPI 1649269119
  Medicare reassignment Care Compare group NPD
• Abigail T Balogun, AUD, CCC/A

  • Audiologist
  • Tyler, TX
  • NPI 1225878358
  Medicare reassignment NPD
• Troy Allen Callender, MD

  • Otolaryngology Physician
  • Tyler, TX
  • NPI 1699764290
  Medicare reassignment NPD
• Howard Scott Garb, MD

  • Otolaryngology Physician
  • Tyler, TX
  • NPI 1427047042
  Medicare reassignment NPD
• Steuart Lawrence Heaton, MD

  • Otolaryngology Physician
  • Tyler, TX
  • NPI 1841289303
  Medicare reassignment NPD
• Scott Fraser Kohlert, MD

  • Otolaryngology Physician
  • Tyler, TX
  • NPI 1407358740
  Medicare reassignment NPD

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553212800000",
    "number": "1306988035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 E GRANDE BLVD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757033982",
            "telephone_number": "903-592-5601",
            "fax_number": "903-595-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 E GRANDE BLVD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757033982",
            "telephone_number": "903-592-5601",
            "fax_number": "903-595-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATON EAR NOSE AND THROAT ASSOCIATES OF EAST TEXAS P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2019-03-22",
        "status": "A",
        "authorized_official_last_name": "GAMBLE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "903-592-5601"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ENT Associates of East Texas",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ENT Associates of East Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kandiss Elizabeth Hearn, APRN, FNP-C
• Sandra Jean Hearnsberger, RN
• Heart to Heart Hospice of Tyler LTD
• Hayden Lee Heath Jr., M.S., BCBA, LBA
• Haley Heather, ATP
• Heaton Health Services Agency LLC
• Heaton Laser and Surgery Center L L C
• Charles Lawson Heaton, M. D.
• Steuart Lawrence Heaton, MD
• Travis Glenn Heaton, DDS

• Otolaryngology Physician in Tyler, TX
• Providers in Tyler, TX by specialty
• Otolaryngology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; 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.