Ear Nose and Throat Associates of Lubbock PA

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

EAR NOSE AND THROAT ASSOCIATES OF LUBBOCK PA

Practice address

3802 22ND St
Suite 200
Lubbock, TX 79410-1107

Phone

(806) 791-0188

Fax

(806) 788-0470

NPI assigned

Sep 24, 2009

Last updated

Feb 27, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Philip A Scolaro, M.D.NPI 1609961812

Title

President

Phone

(806) 791-0188

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PHILIP A SCOLARO, MD Former legal business name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Philip Alan Scolaro, M.D.

  • Otolaryngology Physician
  • Lubbock, TX
  • NPI 1609961812
  Medicare reassignment Care Compare group NPD Authorized official
• David Cuthbertson, M.D.

  • Otolaryngology Physician
  • Houston, TX
  • NPI 1750679338
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488153600000",
    "number": "1790019784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3802 22ND ST",
            "address_2": "SUITE 200",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101107",
            "telephone_number": "806-791-0188",
            "fax_number": "806-788-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 22ND ST",
            "address_2": "SUITE 200",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101107",
            "telephone_number": "806-791-0188",
            "fax_number": "806-788-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR NOSE AND THROAT ASSOCIATES OF LUBBOCK PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-24",
        "last_updated": "2017-02-27",
        "status": "A",
        "authorized_official_last_name": "SCOLARO",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-791-0188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP BCBS",
            "identifier": "8CD477",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHILIP A SCOLARO, MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Michael Sanderson Dyal, D.D.S.
• Jack W. Dyer, M.D.
• Michael Joseph Dymond, MD
• Ronda Lyn Eade, LPC
• Lacy Eads, OTR
• Nancy Lee Early, LVN
• Allison Marie Earwood
• Sandra Denise Eastling, C.N.M., WHNP
• Dennis Patrick Eastman, M.D.
• Kynsey Ebeling, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; 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.