CLEVELAND HEAD & NECK CLINIC NPI 1255469235

NPI Information

  • NPI: 1255469235
  • Provider Name: CLEVELAND HEAD & NECK CLINIC
  • Classification: Otolaryngology - 207YX0905X
  • Specialization: Otolaryngology/Facial Plastic Surgery
  • Entity Type: Organization
  • Address: 2414 CHAMBLISS AVE NW
    CLEVELAND, TN
    ZIP 37311
  • Phone: (423) 472-6581

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NPI Details

CLEVELAND HEAD & NECK CLINIC is an otolaryngology/facial plastic surgery otolaryngology in Cleveland, TN. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. CLEVELAND HEAD & NECK CLINIC NPI is 1255469235. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2414 CHAMBLISS AVE NW
CLEVELAND, TN
ZIP 37311-879
Phone: (423) 472-6581
Fax: (423) 472-2425

The provider's authorized official is Jack Byrd .
The authorized official title is President and has the following contact phone number (423) 472-6581.

The enumeration date for this NPI number is 3/1/2007 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207YX0905XOtolaryngologyOtolaryngology/Facial Plastic SurgeryYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13386305MEDICAIDTENNESSEE
20024126OTHERTENNESSEEBCBS

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: 11/21/2025

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