NPIMap

Organization Active NPI

ENT Specialists of Austin PA

  • Otolaryngology Physician
  • Cedar Park, TX
National Provider Identifier
1942407473
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
ENT SPECIALISTS OF AUSTIN PA
Practice address
1513 E New Hope Dr BLDG D
Cedar Park, TX 78641-5760
Phone
(512) 346-7600
Fax
(512) 346-7603
NPI assigned
Jun 28, 2007
Last updated
Aug 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Authorized official

Name
Dr. Lindsay E Young, MDNPI 1538368618
Title
President
Phone
(512) 346-7600

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
Physician Assistant 363A00000X NU
Otolaryngology Physician 207Y00000X NU Primary

Addresses

Primary practice location

1513 E New Hope Dr BLDG D
Cedar Park, TX 78641-5760

Mailing address

720 W 34TH St Ste 110
Austin, TX 78705-1202
Phone (512) 346-7600

Other identifiers 1

IdentifierTypeStateIssuer
189258001MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070912000715 TX Part B Supplier - Clinic/Group Practice 2961595533 Receives reassigned benefits from 9 practitioners
1 other NPI on this enrollment
Practice locations: Austin, TX; Cedar Park, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1942407473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 W 34TH ST STE 110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051202",
            "telephone_number": "512-346-7600",
            "fax_number": "512-346-7603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 E NEW HOPE DR BLDG D",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786415760",
            "telephone_number": "512-346-7600",
            "fax_number": "512-346-7603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENT SPECIALISTS OF AUSTIN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-346-7600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189258001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.