Active NPI
Timothy Paul Zajonc, MD
- Otolaryngology Physician
- Johnson City, TN
National Provider Identifier
1336117779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 35015
- Practice address
- 2340 Knob Creek Rd 704
Johnson City, TN 37604-2977 - Phone
- (423) 929-9101
- Fax
- (423) 434-2032
- NPI assigned
- Mar 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 35015 | TN | Primary |
Addresses
Primary practice location
2340 Knob Creek Rd 704
Johnson City, TN 37604-2977
Mailing address
2340 Knob Creek Road
Suite 704
Johnson City, TN 37604
Phone (423) 929-9101
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CA7519 | Other | TN | RAILROAD MEDICARE |
| 3859294 | Medicaid | TN | |
| 4008692 | Other | TN | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110405000541 | TN | Practitioner - Otolaryngology | 6507917135 |
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Texas Southwestern Medical School at Dallas, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2340 Knob Creek Rd
Johnson City, TN 37604-2100
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.89 of 100
- Quality
- 62.92
- Improvement activities
- 40
- Cost
- 79.08
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ear Nose and Throat Associates PC | Otolaryngology | Current | Accepting new patients |
| Ear Nose and Throat Associates, P.C. | Past | Accepting new patients |
Locations
2340 Knob Creek Rd
Ste 704
Johnson City, TN 37604
Phone (423) 929-9101
Interoperability endpoints
- timzajonc@entatn.allscriptsdirect.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Otolaryngology Physician
- Johnson City, TN
- NPI 1992734644
-
- Audiologist-Hearing Aid Fitter
- Johnson City, TN
- NPI 1598840027
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Woodridge Hospital
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1023434339
-
dba Franklin Woods Community Hospital
- General Acute Care Hospital
- Johnson City, TN
- NPI 1114033628
-
dba Sycamore Shoals Hospital
- General Acute Care Hospital
- Elizabethton, TN
- NPI 1891801734
-
dba Johnson City Medical Center
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1962915652
-
dba Johnson City Medical Center
- General Acute Care Hospital
- Johnson City, TN
- NPI 1972606465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437609600000",
"number": "1336117779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2340 KNOB CREEK ROAD",
"address_2": "SUITE 704",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "37604",
"telephone_number": "423-929-9101",
"fax_number": "423-434-2032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2340 KNOB CREEK RD 704",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376042977",
"telephone_number": "423-929-9101",
"fax_number": "423-434-2032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAJONC",
"first_name": "TIMOTHY",
"middle_name": "PAUL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-10",
"last_updated": "2015-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "TN",
"license": "35015",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CA7519",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3859294",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4008692",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.