ENT Facial Plastic and Laser Center, Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

12591 Issued in OR

Legal business name

ENT FACIAL PLASTIC AND LASER CENTER, INC

Practice address

600 NW 11TH St Ste E21
Hermiston, OR 97838-8603

Phone

(541) 567-2270

NPI assigned

Mar 20, 2014

Last updated

Mar 20, 2014By 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

Richard A Flaiz, MCNPI 1669547675

Title

Owner

Phone

(541) 567-2270

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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.

• Richard Allan Flaiz, MD FACS

  • Otolaryngology Physician
  • Hermiston, OR
  • NPI 1669547675
  Authorized official Same address or phone
• Mikaela L Hernandez, AUD

  • Audiologist-Hearing Aid Fitter
  • Hermiston, OR
  • NPI 1831963065
  NPD (past)

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395273600000",
    "number": "1447677059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 NW 11TH ST STE E21",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978388603",
            "telephone_number": "541-567-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NW 11TH ST STE E21",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978388603",
            "telephone_number": "541-567-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENT FACIAL PLASTIC AND LASER CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-20",
        "last_updated": "2014-03-20",
        "status": "A",
        "authorized_official_last_name": "FLAIZ",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-567-2270",
        "authorized_official_credential": "MC"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OR",
            "license": "12591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012448",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elite Robotic Surgical Consultants of Oregon PC
• Elizabeth Umana Elizabeth Umana
• Osama Emara
• Emeritus Corporation (Brookdale Hermiston)
• Daniel M Emery, MA, ATC
• Darren M Ernst, CRNA
• Jennifer Alane Escobedo
• Vivienne Ann Evans, A.R.N.P.
• Eyeglass LLC (affordable family eyewear)
• Faaeteete Cosmetics LLC (Vailea Med Spa)

• Medical Specialty Clinic/Center in Hermiston, OR
• Providers in Hermiston, OR by specialty
• Medical Specialty Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; 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.