ENT & Allergy Institute of North Al

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

24438 Issued in AL

Legal business name

ENT & ALLERGY INSTITUTE OF NORTH AL

Practice address

1106 North Cave Street
Tuscumbia, AL 35674

Phone

(256) 314-6673

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jason P Lockette, M.D.

Title

President

Phone

(256) 314-6673

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285712075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 NORTH CAVE STREET",
            "city": "TUSCUMBIA",
            "state": "AL",
            "postal_code": "35674",
            "telephone_number": "256-314-6673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 NORTH CAVE STREET",
            "city": "TUSCUMBIA",
            "state": "AL",
            "postal_code": "35674",
            "telephone_number": "256-314-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENT & ALLERGY INSTITUTE OF NORTH AL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOCKETTE",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-314-6673",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "AL",
            "license": "24438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Otolaryngology Physician in Tuscumbia, AL
• Providers in Tuscumbia, AL by specialty
• Otolaryngology Physician in Alabama

• 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.