Organization Active NPI

Waco Otolaryngology Associates

Doing business as Waco Ear, Nose & Throat

  • Otolaryngology Physician
  • Waco, TX
National Provider Identifier
1861432171
Registry record updated Sep 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
WACO OTOLARYNGOLOGY ASSOCIATES
Doing business as
Waco Ear, Nose & Throat
Practice address
601 W Highway 6
Suite 106
Waco, TX 76710-5575
Phone
(254) 776-7744
Fax
(254) 751-9211
NPI assigned
Jun 7, 2006
Last updated
Sep 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2008

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

Authorized official

Name
Kirk A Steadmon
Title
Administrator
Phone
(254) 776-7744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X TX Primary

Addresses

Primary practice location

601 W Highway 6
Suite 106
Waco, TX 76710-5575

Mailing address

601 W Highway 6
Suite 106
Waco, TX 76710-5575
Phone (254) 776-7744

Other names 1

  • Waco Ear, Nose & Throat Doing business as

National Provider Directory

National Provider Directory

Locations

100 Hillcrest Medical Blvd
Waco, TX 76712
Phone (254) 202-2000

405 Londonderry Dr
Ste 100
Waco, TX 76712
Phone (254) 751-4674

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220572800000",
    "number": "1861432171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W HIGHWAY 6",
            "address_2": "SUITE 106",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767105575",
            "telephone_number": "254-776-7744",
            "fax_number": "254-751-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W HIGHWAY 6",
            "address_2": "SUITE 106",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767105575",
            "telephone_number": "254-776-7744",
            "fax_number": "254-751-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WACO OTOLARYNGOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2008-09-05",
        "status": "A",
        "authorized_official_last_name": "STEADMON",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "254-776-7744"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waco Ear, Nose & Throat",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.