GREATER KNOXVILLE EAR, NOSE AND THROAT ASSOCIATES, PC (NPI# 1578647806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578647806 |
| Entity Type | Organization |
| Organization Name | GREATER KNOXVILLE EAR, NOSE AND THROAT ASSOCIATES, PC |
| Practice Address |
7557a Dannaher Drive Suite 210 Powell TN 37849-3558 |
| Mailing Address |
7557a Dannaher Dr Suite 210 Powell TN 37849-3558 |
| Practice Telephone | 8655218050 |
| Practice Fax Number | 8655445816 |
| Mailing Telephone | 8655218050 |
| Mailing Fax Number | 8655445816 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2019-07-24 |
| Authorized Official Name | DR. ALLAN M ROSENBAUM (PHYSICIAN) |
| Authorized Official Telephone | 8655218050 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
Allopathic & Osteopathic Physicians |
| Street Address |
7557A DANNAHER DRIVE SUITE 210 |
| City | POWELL |
| State | TN |
| Zip Code | 37849-3558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346205358 | Chad E Potteiger | Internal Medicine | 7557a Dannaher Drive, Suite 140, Powell, TN 37849 | 2006-04-20 |
| 1710113345 | David Kirk Gallegos | Otolaryngology | 7557a Dannaher Drive, Suite 220, Powell, TN 37849 | 2009-06-10 |
| 1811071525 | William D Horton II | Otolaryngology | 7557a Dannaher Drive, Suite 210, Powell, TN 37849-3558 | 2006-10-25 |
| 1396767885 | Tots & Teens Pediatrics,pllc | Pediatrics | 7557a Dannaher Drive, Suite 130, Powell, TN 37849-3568 | 2006-07-24 |
| 1598783300 | Neil Feld | Pediatrics | 7557a Dannaher Drive, Suite 130, Powell, TN 37849-3568 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104380930 | Fannon Drug Co. | Pharmacy | 606 E. Emory Rd, Powell, TN 37849 | 2019-01-25 |
| 1417472507 | New Haven, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8001 Conner Road Ste102, Powell, TN 37849 | 2017-08-09 |
| 1790207785 | Sarah Beuerlein Guerrette | Registered Nurse | 7730 Dannaher Drive, Powell, TN 37849 | 2017-07-11 |
| 1255860383 | Eye Surgery Center of Knoxville, LLC | Clinic/Center | 7739 Dannaher Drive, Powell, TN 37849 | 2017-06-12 |
| 1306375720 | Elizabeth Kathy Haun | Nurse Practitioner | 325 Strader Rd, Powell, TN 37849 | 2017-06-08 |
| 1063642593 | Emily H Griffith | Pharmacist | 430 Emory Road, Powell, TN 37849 | 2009-07-17 |
| 1497909428 | Carolyn E Pendergast | Occupational Therapist | 7557 Dannaher Lane, Suite G30, Powell, TN 37849 | 2008-11-04 |
| 1982883468 | Marcella June Greene | Surgery | 7557a Dannaher Dr, Suite 110, Powell, TN 37849 | 2007-10-31 |
| 1629260542 | Frances L Do | Physician Assistant | 7557 Dannaher Dr., Tennessee Urology Associates, Powell, TN 37849 | 2007-08-14 |
| 1780715870 | Diane Elizabeth Crabb | Registered Nurse | 7714 Conner Road, Ste 105, Powell, TN 37849 | 2007-03-08 |
| Find all providers in zip 37849 | ||||
| Taxonomy Code | 207YX0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Plastic Surgery within the Head & Neck |
| An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336297365 | Reza Bolourian | Otolaryngology | 10260 Sawmill Pkwy, Powell, OH 43065-9189 | 2007-01-08 |
| 1457435794 | Richard J Depersio | Otolaryngology | 7557a Dannaher Dr, Suite 210, Powell, TN 37849-3558 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467659375 | Raja A. Atiyah, Md PC | Otolaryngology | 1310 N Locust Ave, Lawrenceburg, TN 38464-2208 | 2007-07-03 |
| 1770551640 | Domenic Michael Canonico | Otolaryngology | 507 Nw Atlantic St, Tullahoma, TN 37388-3504 | 2006-03-08 |
| 1821068040 | William Robert Stewart Jr. | Otolaryngology | 1609 Rosewood Dr, Columbia, TN 38401-6420 | 2006-01-23 |
| 1932177805 | Ear, Nose, and Throat Associates of Middle Tennessee, P.C. | Otolaryngology | 507 Nw Atlantic St, Tullahoma, TN 37388-3504 | 2006-03-08 |
| 1326031071 | John F Jernigan | Otolaryngology | 800 Oak Ridge Tpke, Suite C-100, Oak Ridge, TN 37830-6957 | 2005-08-29 |
| 1750374476 | Charles G Sewall | Otolaryngology | 800 Oak Ridge Tpke, Suite C-100, Oak Ridge, TN 37830-6957 | 2005-08-28 |
| 1457357907 | John Mciver Hodges Sr. | Otolaryngology | 1325 Eastmoreland Ave, Ste 450, Memphis, TN 38104-7535 | 2005-06-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.