Active NPI
Gainsville Allergy, ENT and Plastic Surgery
- Multi-Specialty Clinic/Center
- Gainesville, TX
National Provider Identifier
1841662087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- GAINSVILLE ALLERGY, ENT AND PLASTIC SURGERY
- Practice address
- 1902 Hospital Blvd Ste C
Gainesville, TX 76240-2008 - Phone
- (940) 612-8850
- Fax
- (940) 612-8856
- NPI assigned
- Oct 27, 2015
- Organization subpart
- Yes
- Parent organization
- GAINSVILLE HOSPITAL DISTRICT
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Larry W Nelson Sr.
- Title
- Director
- Phone
- (940) 612-8764
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary | ||
| Medical Specialty Clinic/Center | 261QM2500X | TX | ||
| Rural Health Clinic/Center | 261QR1300X |
Addresses
Primary practice location
1902 Hospital Blvd Ste C
Gainesville, TX 76240-2008
Mailing address
1902 Hospital Blvd Ste C
Gainesville, TX 76240-2008
Phone (940) 612-8850
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 313274801 | Medicaid | TX |
National Provider Directory
National Provider Directory- Part of
- Gainsville Hospital Dis
Locations
1902 Hospital Blvd
Ste C
Gainesville, TX 76240
Phone (940) 382-4142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445904000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1446422400000",
"number": "1841662087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1902 HOSPITAL BLVD STE C",
"city": "GAINESVILLE",
"state": "TX",
"postal_code": "762402008",
"telephone_number": "940-612-8850",
"fax_number": "940-612-8856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1902 HOSPITAL BLVD STE C",
"city": "GAINESVILLE",
"state": "TX",
"postal_code": "762402008",
"telephone_number": "940-612-8850",
"fax_number": "940-612-8856"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GAINSVILLE ALLERGY, ENT AND PLASTIC SURGERY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GAINSVILLE HOSPITAL DISTRICT",
"enumeration_date": "2015-10-27",
"last_updated": "2015-11-02",
"status": "A",
"authorized_official_last_name": "NELSON",
"authorized_official_first_name": "LARRY",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "940-612-8764",
"authorized_official_name_suffix": "Sr."
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "313274801",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.