Organization Active NPI

Mary Es Beaver MD PLLC

  • Otolaryngology Physician
  • Knoxville, TN
National Provider Identifier
1245438605
Registry record updated Feb 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
39575 Issued in TN
Legal business name
MARY ES BEAVER MD PLLC
Doing business as
Anderson Center for Voice and Swallowing
Practice address
930 E Emerald Ave
Suite 720
Knoxville, TN 37917-4539
Phone
(865) 522-3340
Fax
(865) 522-3511
NPI assigned
Jul 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2009

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

Authorized official

Name
Dr. Mary-Es A Beaver, M.D.
Title
Owner
Phone
(865) 522-3340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 39575 TN Primary

Addresses

Primary practice location

930 E Emerald Ave
Suite 720
Knoxville, TN 37917-4539

Mailing address

930 E Emerald Ave
Suite 720
Knoxville, TN 37917-4539
Phone (865) 522-3340

Other names 1

  • Anderson Center for Voice and Swallowing Doing business as

National Provider Directory

National Provider Directory

Locations

2425 West Loop S
Ste 840
Houston, TX 77027
Phone (713) 621-9933

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233532800000",
    "number": "1245438605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 E EMERALD AVE",
            "address_2": "SUITE 720",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379174539",
            "telephone_number": "865-522-3340",
            "fax_number": "865-522-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 E EMERALD AVE",
            "address_2": "SUITE 720",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379174539",
            "telephone_number": "865-522-3340",
            "fax_number": "865-522-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY ES BEAVER MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2009-02-02",
        "status": "A",
        "authorized_official_last_name": "BEAVER",
        "authorized_official_first_name": "MARY-ES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-522-3340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "TN",
            "license": "39575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anderson Center for Voice and Swallowing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; 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.