Regional ENT Associates, P.C.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

MD021696 Issued in TN

Legal business name

REGIONAL ENT ASSOCIATES, P.C.

Practice address

206A Babb Dr
Lebanon, TN 37087-2508

Phone

(615) 444-6667

Fax

(615) 444-7058

NPI assigned

Jun 10, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John L Tate, M. D.

Title

President

Phone

(615) 444-6667

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1235170010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206A BABB DR",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872508",
            "telephone_number": "615-444-6667",
            "fax_number": "615-444-7058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206A BABB DR",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872508",
            "telephone_number": "615-444-6667",
            "fax_number": "615-444-7058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL ENT ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-444-6667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TN",
            "license": "MD021696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3722244",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keri Lynn Raymond, PA-C
• Chelsea Reddick, BCBA, LBA
• James M Reed, DO
• Tamora Reedus, OTR/L
• Jennifer Michelle Reeves, LPC-MHSP
• Emily Renfroe, LMSW
• Resolution Therapy Associates, PLLC
• Restoration Wellness and Medspa
• Restorative Health Services, Inc.
• Results-Ast JV, LLC

• Medical Specialty Clinic/Center in Lebanon, TN
• Providers in Lebanon, TN by specialty
• Medical Specialty Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.