EAST TEXAS EAR, NOSE, & THROAT
NPI 1184159055
Otolaryngology in Longview, TX

Active since April 27, 2017
912 WALNUT HILL DR, LONGVIEW, TX 75605(903) 291-6300 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 30, 2021, Aug 18, 2020, Nov 6, 2017 and 1 more (4 updates tracked since 2017).

About East Texas Ear, Nose, & Throat NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAST TEXAS EAR, NOSE, & THROAT (NPI 1184159055) is a healthcare organization registered as an otolaryngology in Longview, Texas and active in the NPI registry since April 2017. The organization lists Shelby Browne, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1184159055
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameRYAN M GUILLORY MD PA
Location Address912 WALNUT HILL DRLongview, TX 75605-5052
Mailing Address912 Walnut Hill DrLongview, TX 75605-5052
Organization SubpartNo
Authorized OfficialShelby BrownePractice Administrator · (903) 235-8181
Enumeration DateApril 27, 2017
Last NPPES UpdateNovember 30, 20214 updates tracked since enumeration
NPPES CertifiedNovember 30, 2021
✔ NPI 1184159055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in TX · N8298
Definition
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.
Also ListedPediatrics · Sleep MedicineTaxonomy 2080S0012X · License N9215 (TX)
912 WALNUT HILL DR, Longview, TX 75605

Other Names 2

Doing Business AsEast Texas Ear, Nose, & Throat
Doing Business AsFyzical Longview

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

East Texas Ear, Nose, & Throat is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to East Texas Ear, Nose, & Throat, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Otolaryngology
NPI 1104947175
912 WALNUT HILL DR
Longview, TX 75605
(903) 291-6300
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1528541489
912 WALNUT HILL DR
Longview, TX 75605
(903) 291-6300
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1184120495
912 WALNUT HILL DR
Longview, TX 75605
(903) 291-6300
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1386126233
912 WALNUT HILL DR
Longview, TX 75605
(903) 212-9456
✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1942429279
709 HOLLYBROOK DR STE 5605
Longview, TX 75605
(903) 291-6300
✔ PECOS✔ Accepts Medicare0.3 mi
Physical Therapist in Private Practice
NPI 1336928522
900 SCOTT AND WHITE DR
College Station, TX 77845
(979) 207-7400
✔ Accepts Medicare163 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan M Guillory MD PA's NPI number?

The NPI number for Ryan M Guillory MD PA is 1184159055. It was assigned to this organization in the NPPES registry on April 27, 2017. The provider is doing business as East Texas Ear, Nose, & Throat and FYZICAL Longview.

Where is Ryan M Guillory MD PA located?

Ryan M Guillory MD PA is located at 912 Walnut Hill Dr, Longview, TX 75605. The listed phone number is (903) 291-6300.

What is Ryan M Guillory MD PA's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Ryan M Guillory MD PA enrolled in Medicare?

Yes. Ryan M Guillory MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ryan M Guillory MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians reassign their Medicare billing to Ryan M Guillory MD PA, in Nurse Practitioner, Otolaryngology, Pediatric Medicine and Physical Therapist in Private Practice. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ryan M Guillory MD PA was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.