NPIMap

Organization Active NPI

Troy Ear Nose and Throat

  • Otolaryngology Physician
  • Troy, AL
National Provider Identifier
1982939120
Registry record updated Oct 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
6245 Issued in AL
Legal business name
TROY EAR NOSE AND THROAT
Practice address
1320 Highway 231 S
Suite 3
Troy, AL 36081-3000
Phone
(334) 807-8448
Fax
(334) 807-6099
NPI assigned
Oct 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2009

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

Authorized official

Name
Dr. Wilton David McRae, M. D.
Title
Owner
Phone
(334) 807-8448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 6245 AL Primary

Addresses

Primary practice location

1320 Highway 231 S
Suite 3
Troy, AL 36081-3000

Mailing address

1320 Highway 231 S
Suite 3
Troy, AL 36081-3000
Phone (334) 807-8448

Other identifiers 1

IdentifierTypeStateIssuer
1093706905OtherALNPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254787200000",
    "number": "1982939120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 HIGHWAY 231 S",
            "address_2": "SUITE 3",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360813000",
            "telephone_number": "334-807-8448",
            "fax_number": "334-807-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 HIGHWAY 231 S",
            "address_2": "SUITE 3",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360813000",
            "telephone_number": "334-807-8448",
            "fax_number": "334-807-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROY EAR NOSE AND THROAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-06",
        "last_updated": "2009-10-06",
        "status": "A",
        "authorized_official_last_name": "MCRAE",
        "authorized_official_first_name": "WILTON",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-807-8448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "AL",
            "license": "6245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1093706905",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; 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.