HEAD & NECK SURGICAL ASSOCIATES (NPI# 1053304030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053304030 |
| Entity Type | Organization |
| Organization Name | HEAD & NECK SURGICAL ASSOCIATES |
| Practice Address |
1 Burnside Wichita Falls TX 76310-1123 |
| Practice Telephone | 9403226953 |
| Practice Fax Number | 9407679301 |
| Mailing Telephone | 9403226953 |
| Mailing Fax Number | 9407679301 |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2015-03-18 |
| Authorized Official Name | BARRY B PRESTRIDGE (PRESIDENT) |
| Authorized Official Telephone | 9403226953 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 094815001 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | HEAD & NECK SURGICAL ASSOCIATES, P.C. | 1849 Nw Kearney, Suite 300, Portland, OR 97209 |
| Street Address |
1 BURNSIDE |
| City | WICHITA FALLS |
| State | TX |
| Zip Code | 76310-1123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073824983 | Melanie Ruyle Lerew | Otolaryngology | 1 Burnside, Wichita Falls, TX 76310-1123 | 2010-06-24 |
| 1447435490 | Jerald Evan Giles | Otolaryngology | 1 Burnside, Wichita Falls, TX 76310-1123 | 2008-01-08 |
| 1285845586 | Jedidiah Grisel | Otolaryngology | 1 Burnside, Wichita Falls, TX 76310-1123 | 2007-05-25 |
| 1770553471 | Karen Jean Lavalley | Audiologist | 1 Burnside, Wichita Falls, TX 76310-1123 | 2006-01-25 |
| 1306824578 | Cameron Godfrey | Otolaryngology | 1 Burnside, Wichita Falls, TX 76310-1123 | 2006-01-06 |
| 1407849219 | Barry B Prestridge | Otolaryngology | 1 Burnside, Wichita Falls, TX 76310-1123 | 2005-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205329067 | Alesha Lynn Dean | Licensed Vocational Nurse | 6211 Talon Trail, Wichita Falls, TX 76310 | 2018-06-07 |
| 1962766741 | Kimberly D'anne Ravelo | Audiologist | 1 Burnside Drive, Wichita Falls, TX 76310 | 2012-06-27 |
| 1407142417 | Tobin Strom | Radiology | Texas Oncology, 5400 Kell West Blvd, Wichita Falls, TX 76310 | 2011-06-28 |
| 1386850055 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 6086 Kovarik Road, Wichita Falls, TX 76310 | 2007-05-16 |
| 1639391394 | Amy Louise Walmsley | Pharmacist | 1724 Woodridge Dr, Wichita Falls, TX 76310 | 2007-05-03 |
| 1619007416 | Stephanie Joy Postma | Specialist/Technologist | #1 West Medical Court, Wichita Falls, TX 76310 | 2007-03-07 |
| 1568518306 | Bestcare Health Services,inc | Home Health | 5800 Kell West Blvd, Suite 500, Wichita Falls, TX 76310 | 2007-01-26 |
| 1851453856 | Anthony Armando Denis Noya | Family Medicine | 8 Prairie Lace Court, Wichita Falls, TX 76310 | 2006-12-15 |
| 1467872127 | William Russell | Family Medicine | 4327 Barnett Rd, Wichita Falls, TX 76310 | 2014-04-22 |
| 1528297256 | Vanya David Wagler | Internal Medicine | 4327 Barnett Rd, Wichita Falls, TX 76310 | 2009-07-02 |
| Find all providers in zip 76310 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477546331 | Donald L Bomer | Otolaryngology | 2021 Berkley Dr, Wichita Falls, TX 76308-1346 | 2005-08-25 |
| 1073824983 | Melanie Ruyle Lerew | Otolaryngology | 1 Burnside, Wichita Falls, TX 76310-1123 | 2010-06-24 |
| 1447435490 | Jerald Evan Giles | Otolaryngology | 1 Burnside, Wichita Falls, TX 76310-1123 | 2008-01-08 |
| 1285845586 | Jedidiah Grisel | Otolaryngology | 1 Burnside, Wichita Falls, TX 76310-1123 | 2007-05-25 |
| 1275526063 | Earl F Singleton | Otolaryngology | 4327 Barnett Rd, Wichita Falls, TX 76310-2303 | 2005-08-26 |
| 1407849219 | Barry B Prestridge | Otolaryngology | 1 Burnside, Wichita Falls, TX 76310-1123 | 2005-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053919308 | Cgn Epent Pllc | Otolaryngology | 5959 Gateway Blvd W Ste 160, El Paso, TX 79925-3315 | 2020-10-09 |
| 1154937886 | Robert Harold Miller | Otolaryngology | 2616 Wroxton Rd, Houston, TX 77005-1312 | 2020-09-18 |
| 1700401072 | Givens Facial Plastic Surgery Pllc | Otolaryngology | 3939 Bee Caves Rd Ste B3, West Lake Hills, TX 78746-6429 | 2020-06-12 |
| 1649811332 | Jorge J Arango Md Pllc | Otolaryngology | 5959 Gateway Blvd W Ste 104, El Paso, TX 79925-3315 | 2019-10-03 |
| 1194374843 | Yelda Jozaghi | Otolaryngology | 1515 Holcombe Blvd # 1445, Houston, TX 77030-4000 | 2019-09-05 |
| 1053883405 | Cosmedic Wellness Centers, Inc | Otolaryngology | 510 E. Hwy 377, Granbury, TX 76048-2556 | 2018-12-26 |
| 1942778253 | Donelson Neal Shannon | Otolaryngology | 2704 Hanover St, Dallas, TX 75225-7922 | 2018-11-05 |
| 1467968867 | Metroplex Ent & Allergy Pllc | Otolaryngology | 2021 N Macarthur Blvd Ste 225, Irving, TX 75061-2219 | 2017-12-20 |
| 1922522804 | East Texas Sinus and Dizziness Center, Pllc | Otolaryngology | 901 Pegues Pl, Longview, TX 75601-4027 | 2017-08-01 |
| 1720437155 | Central Park Ear Nose & Throat LLP Fort Worth | Otolaryngology | 800 8th Ave Ste 618, Fort Worth, TX 76104-2605 | 2016-06-07 |
| Find all providers with the same taxonomy | ||||
| City | WICHITA FALLS |
| Zip Code | 76310 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.