Central Park Ear Nose & Throat LLP Fort Worth

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

CENTRAL PARK EAR NOSE & THROAT LLP FORT WORTH

Practice address

800 8TH Ave Ste 618
Fort Worth, TX 76104-2605

Phone

(817) 335-6336

NPI assigned

Jun 7, 2016

Last updated

Jun 7, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

CENTRAL PARK EAR NOSE & THROAT LLPAs reported in NPPES

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

Authorized official

Name

Mrs. Grace Bermingham

Title

Administrative Services Manager

Phone

(817) 335-6336

Specialties & licenses 1

Addresses

Tax ID family

Central Park Ear Nose Throat LLP Fort Worth2 organizations share this tax ID, including this one

Part of

Central Park Ear Nose Throat LLP Fort Worth

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Central Park Ear Nose and Throat, LLP-Mansfield

  • Otolaryngology Physician
  • Arlington, TX
  • NPI 1245603760
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Central Park Ear Nose and Throat LLP

  • Otolaryngology Physician
  • Arlington, TX
  • NPI 1033264635
  NPPES parent name

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465257600000",
    "number": "1720437155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 CENTRAL PARK DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760142069",
            "telephone_number": "817-261-9191",
            "fax_number": "817-784-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 8TH AVE STE 618",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042605",
            "telephone_number": "817-335-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PARK EAR NOSE & THROAT LLP FORT WORTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL PARK EAR NOSE & THROAT LLP",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "BERMINGHAM",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "ADMINISTRATIVE SERVICES MANAGER",
        "authorized_official_telephone_number": "817-335-6336",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Otolaryngology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Otolaryngology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.