Individual provider Active NPI

Robert E Adham, MD

  • Otolaryngology Physician
  • Maryville, TN
National Provider Identifier
1144242546
Registry record updated Apr 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD25019 Issued in TN
Practice address
275 Cherokee Professional Park
Maryville, TN 37804-5155
Phone
(865) 983-4090
Fax
(865) 984-2308
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110809000511 TN Practitioner - Otolaryngology 2961406582 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD25019TNMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Ear, Nose & Throat Consultants, PC Otolaryngology CurrentSince Oct 1, 2015 Accepting new patients

Locations

9430 Park West Blvd
Ste 330
Knoxville, TN 37923
Phone (865) 271-6534

Dept 888604
Knoxville, TN 37995

576 Fort Loudoun Med Center Dr
Ste 207
Lenoir City, TN 37772
Phone (865) 271-6534

275 Cherokee Professional Park
Maryville, TN 37804
Phone (865) 983-4090

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD25019 TN Primary

Addresses

NPPES NPI Registry

Primary practice location

275 Cherokee Professional Park
Maryville, TN 37804-5155

Mailing address

275 Cherokee Professional Park
Maryville, TN 37804-5155
Phone (865) 983-4090

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 6, 2010.

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270512000000",
    "number": "1144242546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 CHEROKEE PROFESSIONAL PARK",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045155",
            "telephone_number": "865-983-4090",
            "fax_number": "865-984-2308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 CHEROKEE PROFESSIONAL PARK",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045155",
            "telephone_number": "865-983-4090",
            "fax_number": "865-984-2308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADHAM",
        "first_name": "ROBERT",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2010-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TN",
            "license": "MD25019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, TN

Sources for this page

Verify at the official NPI Registry.