Organization Active NPI

Tri City Ear Nose & Throat PS

  • Otolaryngology Physician
  • Kennewick, WA
National Provider Identifier
1689612046
Registry record updated Apr 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
TRI CITY EAR NOSE & THROAT PS
Practice address
911 S Washington St
Suite a
Kennewick, WA 99336-5600
Phone
(509) 586-8368
Fax
(509) 586-2525
NPI assigned
Jun 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2011

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

Authorized official

Name
Rindi J Baze
Title
Practice Manager
Phone
(509) 586-8368

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X Primary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X

Addresses

Primary practice location

911 S Washington St
Suite a
Kennewick, WA 99336-5600

Mailing address

911 S Washington St
Suite a
Kennewick, WA 99336-5600
Phone (509) 586-8368

Other identifiers 2

IdentifierTypeStateIssuer
76968OtherWALABOR & INDUSTRIES
7097546MedicaidWA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303344000000",
    "number": "1689612046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 S WASHINGTON ST",
            "address_2": "SUITE A",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993365600",
            "telephone_number": "509-586-8368",
            "fax_number": "509-586-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 S WASHINGTON ST",
            "address_2": "SUITE A",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993365600",
            "telephone_number": "509-586-8368",
            "fax_number": "509-586-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI CITY EAR NOSE & THROAT PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2011-04-21",
        "status": "A",
        "authorized_official_last_name": "BAZE",
        "authorized_official_first_name": "RINDI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "509-586-8368"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "76968",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7097546",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; 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.