Jack Byrd (NPI# 1144330606, PAC ID# 6002931722) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1144330606 |
| PAC ID by PECOS | 6002931722 |
| Professional Enrollment ID | I20100917000231 |
| Full Name | Jack Byrd |
| Organization Legal Name | CLEVELAND HEAD AND NECK CLINIC |
| Address |
2414 Chambliss Nwave Cleveland TN 37311-3879 |
| Phone Number | 4234726581 |
| Gender | M |
| Medical School | UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE |
| Graduation Year | 1976 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 5597939348 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440185 | TENNOVA HEALTH CARE-CLEVELAND |
| Address | Phone | Organization |
|---|---|---|
| 2414 Chambliss Nwave, Cleveland, TN 37311-3879 | 4234726581 | CLEVELAND HEAD AND NECK CLINIC |
| Organization Legal Name | CLEVELAND HEAD AND NECK CLINIC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tiffany Patterson Baugh | Otolaryngology | Cleveland Head and Neck Clinic | 2414 Chambliss Nwave, Cleveland, TN 37311-3879 |
| Timothy Viser | Otolaryngology | Cleveland Head and Neck Clinic | 2414 Chambliss Nwave, Cleveland, TN 37311-3879 |
| Street Address |
2414 CHAMBLISS NWAVE |
| City | CLEVELAND |
| State | TN |
| Zip | 37311-3879 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tiffany Patterson Baugh | Otolaryngology | Cleveland Head and Neck Clinic | 2414 Chambliss Nwave, Cleveland, TN 37311-3879 |
| Timothy Viser | Otolaryngology | Cleveland Head and Neck Clinic | 2414 Chambliss Nwave, Cleveland, TN 37311-3879 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth C Hudson | Optometry | Walter F Peterson Od PC | 2020 Keith Nwst, Cleveland, TN 37311-1351 |
| Dennis C Ford | Interventional Pain Management | Ford Center for Pain Management | 2020 Keith St Nw C, Cleveland, TN 37311-1351 |
| Gregory Vanfossen | Nurse Practitioner | Ford Center for Pain Management | 2020 Keith St Nw C, Cleveland, TN 37311-1351 |
| Sarah Ford | Nurse Practitioner | Ford Center for Pain Management | 2020 Keith St Nw C, Cleveland, TN 37311-1351 |
| Blake Allen Peterson | Optometry | Walter F Peterson Od PC | 2020 Keith Nwst, Cleveland, TN 37311-1351 |
| John N Gernert | Podiatry | 105 Keith St, Cleveland, TN 37311-1704 | |
| Leland W Wear | Chiropractic | 755 Broad St Nw, Suite C, Cleveland, TN 37311-2248 | |
| Michael L Hoops | Plastic and Reconstructive Surgery | 597 Church St Ne, Cleveland, TN 37311-2275 | |
| Dean Leroy Bowen | Nurse Practitioner | Volunteer Behavioral Health Care System | 940 S Ocoee St, Cleveland, TN 37311-2601 |
| Troy D Gilson | Psychiatry | Volunteer Behavioral Health Care System | 940 S Ocoee St, Cleveland, TN 37311-2601 |
| Find all physicians in zip 37311 | |||
| City | CLEVELAND |
| Zip Code | 37311 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | CLEVELAND + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Jack Byrd.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.