Rocky Top ENT & Allergy, PLLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

ROCKY TOP ENT & ALLERGY, PLLC

Practice address

49 Cleveland St Ste 220
Crossville, TN 38555-2854

Phone

(931) 219-9990

Fax

(931) 717-1180

NPI assigned

Feb 5, 2024

Organization subpart

No

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

Authorized official

Name

Jonathan W HafnerNPI 1811165608

Title

Owner

Phone

(931) 219-9990

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan William Hafner, M.D.

  • Otolaryngology Physician
  • Crossville, TN
  • NPI 1811165608
  Medicare reassignment Care Compare group NPD Authorized official
• Bernadette Kos, MA

  • Audiologist
  • Oak Ridge, TN
  • NPI 1457832586
  Medicare reassignment Care Compare group NPD
• Courtney Young Watson

  • Pediatric Nurse Practitioner
  • Morristown, TN
  • NPI 1932572591
  Medicare reassignment Care Compare group NPD
• Hannah Kerley, AUD. CCC-A

  • Audiologist
  • Knoxville, TN
  • NPI 1861961898
  Medicare reassignment NPD
• Susan Bivens Webb, MA -CCC-A

  • Audiologist
  • Knoxville, TN
  • NPI 1851565121
  Medicare reassignment NPD
• Jenna Joan Friend, AU.D.

  • Audiologist
  • Crossville, TN
  • NPI 1003739483
  NPD (past)

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1306609169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 8888620",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379950001",
            "telephone_number": "865-670-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 CLEVELAND ST STE 220",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385552854",
            "telephone_number": "931-219-9990",
            "fax_number": "931-717-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY TOP ENT & ALLERGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "HAFNER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-219-9990"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald D Richards Jr., CRNA
• Ryan Paul Richardson, PTA
• Shannon Marie Rivera, RN
• Nicole C Robbins, AU.D.
• Kayla Roberts
• Kennie Rene Rodriguez, APRN
• Mildred Faye Roe, NA
• Jessica Rose Rotolo, PA-C
• Rowan Chiropractic
• Andrew Charles Rowan, D.C.

• Otolaryngology Physician in Crossville, TN
• Providers in Crossville, TN by specialty
• Otolaryngology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.