Organization Active NPI

East Texas Sinus and Dizziness Center, PLLC

  • Otolaryngology Physician
  • Longview, TX
National Provider Identifier
1922522804
Registry record updated Aug 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
EAST TEXAS SINUS AND DIZZINESS CENTER, PLLC
Practice address
901 Pegues PL
Longview, TX 75601-4027
Phone
(903) 212-4399
Fax
(903) 236-3108
NPI assigned
Aug 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2017

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

Authorized official

Name
Ronald Glen Morton, MD
Title
President
Phone
(903) 212-4399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

901 Pegues PL
Longview, TX 75601-4027

Mailing address

1 Bazzell Dr
Longview, TX 75604-4318
Phone (903) 522-9523

National Provider Directory

National Provider Directory

Locations

901 Pegues Pl
Longview, TX 75601
Phone (903) 212-4399

NPI Registry JSON

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501545600000",
    "number": "1922522804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BAZZELL DR",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756044318",
            "telephone_number": "903-522-9523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 PEGUES PL",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756014027",
            "telephone_number": "903-212-4399",
            "fax_number": "903-236-3108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TEXAS SINUS AND DIZZINESS CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-01",
        "last_updated": "2017-08-01",
        "status": "A",
        "authorized_official_last_name": "MORTON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "GLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-212-4399",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2017; 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.