Organization Active NPI

Elder Ear Medical Group, Inc.

  • Otolaryngology Physician
  • Irving, TX
National Provider Identifier
1750330882
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
ELDER EAR MEDICAL GROUP, INC.
Practice address
415 E Airport Fwy
Suite #240
Irving, TX 75062-6319
Phone
(972) 594-8323
Fax
(972) 594-8329
NPI assigned
May 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Authorized official

Name
Mr. Harlan Rexman Hill
Title
Executive Director
Phone
(972) 594-8323

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X

Addresses

Primary practice location

415 E Airport Fwy
Suite #240
Irving, TX 75062-6319

Mailing address

415 E Airport Fwy
Suite #240
Irving, TX 75062-6319
Phone (972) 594-8323

National Provider Directory

National Provider Directory

Locations

333 Hegenberger Rd
Ste 350
Oakland, CA 94621
Phone (888) 660-4327

20061 Saticoy St
Ste 203
Winnetka, CA 91306
Phone (818) 710-6483

8035 E R L Thornton Fwy
Ste 227
Dallas, TX 75228
Phone (214) 660-4500

415 E Airport Fwy
Ste 240
Irving, TX 75062
Phone (469) 466-5908

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1750330882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 E AIRPORT FWY",
            "address_2": "SUITE #240",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750626319",
            "telephone_number": "972-594-8323",
            "fax_number": "972-594-8329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E AIRPORT FWY",
            "address_2": "SUITE #240",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750626319",
            "telephone_number": "972-594-8323",
            "fax_number": "972-594-8329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDER EAR MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "HARLAN",
        "authorized_official_middle_name": "REXMAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "972-594-8323",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.