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CENTRAL TENNESSEE EAR NOSE & THROAT NPI 1033223896


NPI Information

NPI: 1033223896
Provider Name: CENTRAL TENNESSEE EAR NOSE & THROAT
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 44D2022586

Address:
787 WEATHERLY DR
SUITE 200
CLARKSVILLE, TN
ZIP 37043
Phone: (931) 647-1255
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CENTRAL TENNESSEE EAR NOSE & THROAT is a specialist in Clarksville, TN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CENTRAL TENNESSEE EAR NOSE & THROAT NPI is 1033223896. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

787 WEATHERLY DR
SUITE 200
CLARKSVILLE, TN
ZIP 37043-949
Phone: (931) 647-1255
Fax: (931) 647-2399

The provider's authorized official is Cindy M Foust .
The authorized official title is Office Manager and has the following contact phone number (931) 647-1255.

The CLIA number assigned to this NPI record is 44D2022586 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/18/2006 and was last updated on 12/10/2015.


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
1174400000XSpecialistMD0000021029TENNESSEEYes

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
16039651OTHERBLUECROSS
21524504MEDICAIDTENNESSEE
3621860059OTHERTENNESSEETRICARE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.