Cleveland Head & Neck Clinic

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

Legal business name

CLEVELAND HEAD & NECK CLINIC

Practice address

2414 Chambliss Ave NW
Cleveland, TN 37311-3879

Phone

(423) 472-6581

Fax

(423) 472-2425

NPI assigned

Mar 1, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jack Byrd, MDNPI 1144330606

Title

President

Phone

(423) 472-6581

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jack P. Byrd, M.D.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Cleveland, TN
  • NPI 1144330606
  Authorized official Same address or phone

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255469235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 CHAMBLISS AVE NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113879",
            "telephone_number": "423-472-6581",
            "fax_number": "423-472-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 CHAMBLISS AVE NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113879",
            "telephone_number": "423-472-6581",
            "fax_number": "423-472-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND HEAD & NECK CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-472-6581",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3386305",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0024126",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cleveland Counseling & Mental Health
• Cleveland Counseling Associates, P.C.
• Cleveland Eye Care, PLLC
• Cleveland Eye Clinic, PC (Athens Eye Associates)
• Cleveland Family Physicians
• Cleveland Home Care Services LLC (Family Hospice Cleveland)
• Cleveland Home Care Services LLC (Beacon Home Health)
• Cleveland Home Respiratory Care,Inc
• Cleveland Medical Associates, PLLC
• Cleveland Medical Clinic Inc

• Otolaryngology/Facial Plastic Surgery Physician in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Otolaryngology/Facial Plastic Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.