NPIMap

Organization Active NPI

San Marcos Ear Nose & Throat Association

  • Medical Specialty Clinic/Center
  • San Marcos, TX
National Provider Identifier
1356436455
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
K6615 Issued in TX
Legal business name
SAN MARCOS EAR NOSE & THROAT ASSOCIATION
Practice address
1320 Wonder World Dr
Ste 100
San Marcos, TX 78666-7557
Phone
(512) 396-9700
Fax
(512) 396-9779
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
Dr. John Willliam Jones Jr., M.D.NPI 1508849548
Title
President/Physician
Phone
(512) 396-9700

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
Medical Specialty Clinic/Center 261QM2500X K6615 TX Primary

Addresses

Primary practice location

1320 Wonder World Dr
Ste 100
San Marcos, TX 78666-7557

Mailing address

1320 Wonder World Dr
Ste 100
San Marcos, TX 78666-7557
Phone (512) 396-9700

Other identifiers 1

IdentifierTypeStateIssuer
147817401MedicaidTX

National Provider Directory

National Provider Directory

Locations

1320 Wonder World Dr
Ste 100
San Marcos, TX 78666
Phone (512) 396-9700

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1356436455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 WONDER WORLD DR",
            "address_2": "STE 100",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667557",
            "telephone_number": "512-396-9700",
            "fax_number": "512-396-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 WONDER WORLD DR",
            "address_2": "STE 100",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667557",
            "telephone_number": "512-396-9700",
            "fax_number": "512-396-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN MARCOS EAR NOSE & THROAT ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WILLLIAM",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "512-396-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "K6615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147817401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.