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EAST TENNESSEE EAR NOSE & THROAT SPECIALISTS PC NPI 1467664037


NPI Information

NPI: 1467664037
Provider Name: EAST TENNESSEE EAR, NOSE & THROAT SPECIALISTS, PC

Former Legal Business Name: EAST TENNESSEE OTOLARYNOLOGY HEAD AND NECK SURGERY CENTER

Classification: Otolaryngology - 207Y00000X
Entity Type: Organization

CLIA Number: 44D0311957

Address:
1 TRILLIUM WAY
CORBIN, KY
ZIP 40701
Phone: (606) 523-8770
Get Directions

EAST TENNESSEE EAR, NOSE & THROAT SPECIALISTS, PC is an otolaryngology in Corbin, KY. The provider is 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. EAST TENNESSEE EAR, NOSE & THROAT SPECIALISTS, PC NPI is 1467664037. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is East Tennessee Otolarynology Head And Neck Surgery Center.

The provider's business location address is:

1 TRILLIUM WAY
CORBIN, KY
ZIP 40701-426
Phone: (606) 523-8770

The provider's authorized official is Holly Michelle Smith .
The authorized official title is Practice Manager and has the following contact phone number (865) 483-2288.

The CLIA number assigned to this NPI record is 44D0311957 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/4/2007 and was last updated on 5/17/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Y00000XOtolaryngologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
165904229MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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