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PEDIATRIC OTOLARYNGOLOGY HEAD AND NECK SURGERYPLLC NPI 1235162298


NPI Information

NPI: 1235162298
Provider Name: PEDIATRIC OTOLARYNGOLOGY HEAD AND NECK SURGERY,PLLC
Classification: Otolaryngology - 207YP0228X
Entity Type: Organization

Specialization: Pediatric Otolaryngology

CLIA Number: 44D1043182

Address:
2100 W CLINCH AVE
SUITE 410
KNOXVILLE, TN
ZIP 37916
Phone: (865) 521-6005
Get Directions

PEDIATRIC OTOLARYNGOLOGY HEAD AND NECK SURGERY,PLLC is a pediatric otolaryngology otolaryngology in Knoxville, TN. The provider is a pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing. PEDIATRIC OTOLARYNGOLOGY HEAD AND NECK SURGERY,PLLC NPI is 1235162298. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2100 W CLINCH AVE
SUITE 410
KNOXVILLE, TN
ZIP 37916-219
Phone: (865) 521-6005
Fax: (865) 521-6088

The provider's authorized official is John P Little .
The authorized official title is Chief Manager and has the following contact phone number (865) 521-6005.

The CLIA number assigned to this NPI record is 44D1043182 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/9/2006 and was last updated on 8/22/2020.


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
1207YP0228XOtolaryngologyPediatric OtolaryngologyTENNESSEEYes

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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