Gregory E Hyde MD PHD PA

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

M0115 Issued in TX

Legal business name

GREGORY E HYDE MD PHD PA

Practice address

1018 Mound St Ste 103
Nacogdoches, TX 75961-4434

Phone

(936) 560-2600

Fax

(936) 560-4500

NPI assigned

Apr 29, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Gregory E Hyde, MD PHD

Title

President/Physician

Phone

(936) 560-2600

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275868800000",
    "number": "1457526402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 MOUND ST STE 103",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614434",
            "telephone_number": "936-560-2600",
            "fax_number": "936-560-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 MOUND ST STE 103",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614434",
            "telephone_number": "936-560-2600",
            "fax_number": "936-560-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY E HYDE MD PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2010-06-07",
        "status": "A",
        "authorized_official_last_name": "HYDE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "936-560-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PHD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "M0115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210776501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD5475",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; 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.