NPIMap

Organization Active NPI

Hill Country Ear, Nose & Throat, PA

  • Otolaryngology Physician
  • New Braunfels, TX
National Provider Identifier
1811023914
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
J9902 Issued in TX
Legal business name
HILL COUNTRY EAR, NOSE & THROAT, PA
Practice address
42 Gruene Park Dr
New Braunfels, TX 78130-2460
Phone
(830) 629-5830
Fax
(830) 629-3647
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Authorized official

Name
Charles F. Lano Jr., M.D.NPI 1124092671
Title
President
Phone
(830) 629-5830

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X J9902 TX Primary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X 51495 TX

Addresses

Primary practice location

42 Gruene Park Dr
New Braunfels, TX 78130-2460

Mailing address

42 Gruene Park Dr
New Braunfels, TX 78130-2460
Phone (830) 629-5830

Other identifiers 4

IdentifierTypeStateIssuer
0057DJOtherTXBLUE CROSS BLUE SHIELD
081439403MedicaidTX
081439401MedicaidTX
081439402MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070228000696 TX Part B Supplier - Clinic/Group Practice 5698877207 Receives reassigned benefits from 5 practitioners
Practice locations: New Braunfels, TX

National Provider Directory

National Provider Directory

Locations

598 N Union Ave
Ste 335
New Braunfels, TX 78130
Phone (830) 606-9111

42 Gruene Park Dr
New Braunfels, TX 78130
Phone (830) 629-5830

Practitioners & affiliated clinicians

Practitioners 6

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": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316649600000",
    "number": "1811023914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 GRUENE PARK DR",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781302460",
            "telephone_number": "830-629-5830",
            "fax_number": "830-629-3647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 GRUENE PARK DR",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781302460",
            "telephone_number": "830-629-5830",
            "fax_number": "830-629-3647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILL COUNTRY EAR, NOSE & THROAT, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2011-09-22",
        "status": "A",
        "authorized_official_last_name": "LANO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "830-629-5830",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "J9902",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "TX",
            "license": "51495",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0057DJ",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081439403",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081439401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081439402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.