Burlington Ear Nose & Throat Clinic PC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

31549 / 34553 Issued in IA

Legal business name

BURLINGTON EAR NOSE & THROAT CLINIC PC

Practice address

1225 S Gear Ave
Ste 255
West Burlington, IA 52655-1687

Phone

(319) 752-2725

Fax

(319) 753-1084

NPI assigned

Aug 29, 2006

Last updated

Feb 24, 2015By 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

Mr. Douglas Edwin Henrich, M.D.NPI 1588634414

Title

Physician

Phone

(319) 752-2725

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Interoperability endpoints

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

Practitioners 8

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.

• Douglas Edwin Henrich, M.D.

  • Otolaryngology Physician
  • West Burlington, IA
  • NPI 1588634414
  Medicare reassignment Care Compare group Authorized official
• Jennifer K Berge, M.D.

  • Otolaryngology Physician
  • West Burlington, IA
  • NPI 1063492361
  Medicare reassignment Care Compare group NPD
• Carly M Williams, AU.D.

  • Audiologist
  • West Burlington, IA
  • NPI 1235439928
  Medicare reassignment Care Compare group NPD
• Ann Marie Smith, DOCTOR OF AUDIOLOGY

  • Audiologist
  • Normal, IL
  • NPI 1952389975

  IA

  Medicare reassignment Care Compare group NPD
• Krista Ann Willenbring, AUD

  • Audiologist
  • Waterloo, IA
  • NPI 1669097317
  Medicare reassignment NPD
• Emily Tinguely, PA-C

  • Physician Assistant
  • Springfield, OR
  • NPI 1154975407

  IA

  Medicare reassignment
• Michael J Thielman, MD

  • Otolaryngology Physician
  • Stevens Point, WI
  • NPI 1881722239
  NPD (past)
• Lindsey Tubaugh, M.S., CCC-A

  • Audiologist
  • Bountiful, UT
  • NPI 1073846523
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1326157140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 S GEAR AVE",
            "address_2": "STE 255",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "526551687",
            "telephone_number": "319-752-2725",
            "fax_number": "319-753-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 S GEAR AVE",
            "address_2": "STE 255",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "526551687",
            "telephone_number": "319-752-2725",
            "fax_number": "319-753-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURLINGTON EAR NOSE & THROAT CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "HENRICH",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "319-752-2725",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IA",
            "license": "31549 / 34553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK GROUP NUMBER",
            "identifier": "06724",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "I5597",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NPI",
            "identifier": "1326157140",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruchie Bhattarai, M.D
• Raj Bhui
• Craig Alan Bottke, M.D.
• Brenda Lee Brent, PHARMD
• Susan E. Brown, ARNP
• Burlington Neurology and Sleep Clinic, PLC
• Burlington Oral Surgery
• Burlington Pediatric Association, P.C.
• Gregg W Calderwood, M.D.
• Cancer Care Associates, P.C.

• Otolaryngology Physician in West Burlington, IA
• Providers in West Burlington, IA by specialty
• Otolaryngology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; 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.