Family ENT of Georgetown PLLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

FAMILY ENT OF GEORGETOWN PLLC

Practice address

4887 Williams Dr
BLDG 2, Ste 203
Georgetown, TX 78633

Phone

(512) 425-0852

NPI assigned

May 20, 2024

Organization subpart

No

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

Authorized official

Name

Yael Kreitman Willingham, MDNPI 1609133099

Title

Owner

Phone

(512) 425-0852

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 7

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

• Yael Kreitman Willingham, M.D.

  • Otolaryngology Physician
  • Killeen, TX
  • NPI 1609133099
  Medicare reassignment NPD Authorized official
• Meredith Rollins Hatcher, PA-C

  • Physician Assistant
  • Georgetown, TX
  • NPI 1134631450
  NPD (past)
• Karina Patel, PA-C

  • Physician Assistant
  • Georgetown, TX
  • NPI 1154006203
  NPD (past)
• Janice Soileau, CPNP-PC

  • Pediatric Nurse Practitioner
  • Georgetown, TX
  • NPI 1023539855
  NPD (past)
• Michael Soileau, MD

  • Neurology Physician
  • Georgetown, TX
  • NPI 1922237817
  NPD (past)
• Subhashie Wijemanne, M.D.

  • Neurology Physician
  • Austin, TX
  • NPI 1215190244
  NPD (past)
• Kinsey Lou McCartney, PA

  • Physician Assistant
  • San Francisco, CA
  • NPI 1972880102
  NPD (past)

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1639928856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4887 WILLIAMS DR",
            "address_2": "BLDG 2, STE 203",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "78633",
            "telephone_number": "512-425-0852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4887 WILLIAMS DR",
            "address_2": "BLDG 2, STE 203",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "78633",
            "telephone_number": "512-425-0852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 South I-35",
            "address_2": "Ste 103",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "TX",
            "postal_code": "78628",
            "country_code": "US",
            "telephone_number": "512-425-0852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY ENT OF GEORGETOWN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "WILLINGHAM",
        "authorized_official_first_name": "YAEL",
        "authorized_official_middle_name": "KREITMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-425-0852",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bennett J. Ezekiel, M.D.
• Katrina Anna Fairchild, LPC
• Fairfield Pumps LLC
• Faithworks Counseling Services PLLC
• Family Care Network LLC
• Family Medical Center of Georgetown, PA
• Family Patient Transportation LLC
• Family Total Dental PA
• Larry Ralph Fane, M. D.
• Farlife LLC

• Otolaryngology Physician in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Otolaryngology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.