Individual provider Active NPI

John P Little, M.D.

  • Pediatric Otolaryngology Physician
  • Knoxville, TN
National Provider Identifier
1346268729
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Otolaryngology PhysicianTaxonomy code 207YP0228X
License
MD30089 Issued in TN
Practice address
2100 W Clinch Ave Ste 410
Knoxville, TN 37916-2287
Phone
(865) 521-6005
Fax
(865) 521-6088
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Otolaryngology Physician 207YP0228X MD30089 TN Primary

Addresses

Primary practice location

2100 W Clinch Ave Ste 410
Knoxville, TN 37916-2287

Mailing address

2100 W Clinch Ave Ste 410
Knoxville, TN 37916-2287
Phone (865) 521-6005

Other identifiers 2

IdentifierTypeStateIssuer
AETNAOther5721597
BLUECROSS BLUESHIELDOtherTN4032968

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD30089TNMDPediatric Otolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Otolaryngology Center of East Tennessee PC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346268729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 W CLINCH AVE STE 410",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162287",
            "telephone_number": "865-521-6005",
            "fax_number": "865-521-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W CLINCH AVE STE 410",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162287",
            "telephone_number": "865-521-6005",
            "fax_number": "865-521-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTLE",
        "first_name": "JOHN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "TN",
            "license": "MD30089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "5721597",
            "identifier": "AETNA",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "4032968",
            "identifier": "BLUECROSS BLUESHIELD",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 8, 2007; 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.