Organization Active NPI

Ear, Nose and Throat Associates P.C.

  • Otolaryngology Physician
  • Omaha, NE
National Provider Identifier
1326376476
Registry record updated Dec 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
10836 Issued in NE
Legal business name
EAR, NOSE AND THROAT ASSOCIATES P.C.
Practice address
8601 W Dodge Rd
Suite 234
Omaha, NE 68114-3457
Phone
(402) 393-8910
Fax
(402) 393-3350
NPI assigned
Dec 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2009

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

Authorized official

Name
Dr. Peter R Demarco, M.D.
Title
President
Phone
(402) 393-8910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 10836 NE Primary

Addresses

Primary practice location

8601 W Dodge Rd
Suite 234
Omaha, NE 68114-3457

Mailing address

8601 W Dodge Rd
Suite 234
Omaha, NE 68114-3457
Phone (402) 393-8910

National Provider Directory

National Provider Directory

Locations

8601 W Dodge Rd
Ste 234
Omaha, NE 68114
Phone (402) 393-8910

NPI Registry JSON

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

{
    "created_epoch": "1259625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259625600000",
    "number": "1326376476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8601 W DODGE RD",
            "address_2": "SUITE 234",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143457",
            "telephone_number": "402-393-8910",
            "fax_number": "402-393-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 W DODGE RD",
            "address_2": "SUITE 234",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143457",
            "telephone_number": "402-393-8910",
            "fax_number": "402-393-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR, NOSE AND THROAT ASSOCIATES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-01",
        "last_updated": "2009-12-01",
        "status": "A",
        "authorized_official_last_name": "DEMARCO",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-393-8910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "NE",
            "license": "10836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.