Active NPI
Robert E Adham, MD
- Otolaryngology Physician
- Maryville, TN
National Provider Identifier
1144242546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- MD25019
- 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.
-
- Otolaryngology Physician
- Knoxville, TN
- NPI 1255352266
Otolaryngology, TN
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MD25019 | TN | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee Ear, Nose & Throat Consultants, PC | Otolaryngology | Current | 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | MD25019 | TN | Primary |
Addresses
NPPES NPI RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.