ENT Associates of Southeastern New Mexico

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

2002-0332 Issued in NM

Legal business name

ENT ASSOCIATES OF SOUTHEASTERN NEW MEXICO

Practice address

5419 N Lovington Hwy
Hobbs, NM 88240-9131

Phone

(505) 392-0495

Fax

(505) 392-0562

NPI assigned

Nov 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. George J Farrell III, MD

Title

President

Phone

(505) 392-0495

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1163289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679644728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2484",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882412484",
            "telephone_number": "505-392-0495",
            "fax_number": "505-392-0562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5419 N LOVINGTON HWY",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882409131",
            "telephone_number": "505-392-0495",
            "fax_number": "505-392-0562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENT ASSOCIATES OF SOUTHEASTERN NEW MEXICO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-392-0495",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "NM",
            "license": "2002-0332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NEW MEXICO",
            "identifier": "NM009D16",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20980574",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alaa Elzayat, MD
• Brittany Embry
• Mandip Enoh
• Hilda Mirella Enriquez, LSAA
• Takela Ensz, MSN, APRN, FNP-C
• Ailyn Escobar
• Lalaineya Esperanza
• Herlinda Espinoza, HIS
• Novel Paraiso Estevez Martinez
• Deana Marie Estrada

• Otolaryngology Physician in Hobbs, NM
• Providers in Hobbs, NM by specialty
• Otolaryngology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.