NPIMap

Organization Active NPI

Allergy Ears Nose & Throat of Greenville PA

  • Otolaryngology Physician
  • Rockwall, TX
National Provider Identifier
1417039512
Registry record updated Feb 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
ALLERGY EARS NOSE & THROAT OF GREENVILLE PA
Practice address
3000 Horizon Rd
Rockwall, TX 75032-5817
Phone
(903) 454-6481
Fax
(903) 454-6486
NPI assigned
Oct 19, 2006
Last updated
Feb 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2015

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

Authorized official

Name
Thomas V Ripp, MDNPI 1770515017
Title
Owner
Phone
(903) 454-6481

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X Primary

Addresses

Primary practice location

3000 Horizon Rd
Rockwall, TX 75032-5817

Mailing address

3000 Horizon Rd
Rockwall, TX 75032-5817
Phone (903) 454-6481

Other identifiers 1

IdentifierTypeStateIssuer
080065801MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070523000185 TX Part B Supplier - Clinic/Group Practice 7810094091 Receives reassigned benefits from 4 practitioners
Practice locations: Greenville, TX; Rockwall, TX

National Provider Directory

National Provider Directory
Tax ID family
Allergy Ears Nose Throat of Greenville PA2 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.

Locations

4000 Medical Pkwy
Greenville, TX 75401
Phone (903) 454-6481

4521 Medical Center Dr
McKinney, TX 75069
Phone (972) 548-7555

3000 Horizon Rd
Rockwall, TX 75032
Phone (903) 454-6481

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424217600000",
    "number": "1417039512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 HORIZON RD",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750325817",
            "telephone_number": "903-454-6481",
            "fax_number": "903-454-6486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 HORIZON RD",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750325817",
            "telephone_number": "903-454-6481",
            "fax_number": "903-454-6486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY EARS NOSE & THROAT OF GREENVILLE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2015-02-18",
        "status": "A",
        "authorized_official_last_name": "RIPP",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-454-6481",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080065801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.