NPIMap

Organization Active NPI

Otolaryngology Associates of Tennessee PC

  • Otolaryngology Physician
  • Nashville, TN
National Provider Identifier
1376671834
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
OTOLARYNGOLOGY ASSOCIATES OF TENNESSEE PC
Practice address
2004 Hayes St Ste 600
Nashville, TN 37203-2663
Phone
(615) 340-4000
Fax
(615) 327-4449
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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

Authorized official

Name
Jeremy Franklin
Title
Co-Administrator
Phone
(615) 340-4014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

2004 Hayes St Ste 600
Nashville, TN 37203-2663

Mailing address

PO Box 331049
Nashville, TN 37203-7508
Phone (615) 340-4000

Other identifiers 1

IdentifierTypeStateIssuer
3709726MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040501000308 TN Part B Supplier - Clinic/Group Practice 8628066404 Receives reassigned benefits from 27 practitioners
Practice locations: Nashville, TN; Franklin, TN

National Provider Directory

National Provider Directory

Locations

23811 Braddock Ave
Bellerose, NY 11426
Phone (516) 641-0600

4323 Carothers Pkwy
Ste 408
Franklin, TN 37067
Phone (615) 340-4040

4601 Carothers Pkwy
Ste 215
Franklin, TN 37067
Phone (615) 340-4000

4601 Carothers Pkwy
Ste 408
Franklin, TN 37067

410 42nd Ave N
Ste 100
Nashville, TN 37209
Phone (615) 329-0591

2004 Hayes St
Ste 600
Nashville, TN 37203
Phone (615) 340-4000

410 42nd Ave N
Ste 200
Nashville, TN 37209
Phone (615) 340-4000

2410 Patterson St
Ste 210
Nashville, TN 37203
Phone (615) 340-4000

Practitioners & affiliated clinicians

Practitioners 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576108800000",
    "number": "1376671834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 331049",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372037508",
            "telephone_number": "615-340-4000",
            "fax_number": "615-327-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 HAYES ST STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032663",
            "telephone_number": "615-340-4000",
            "fax_number": "615-327-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTOLARYNGOLOGY ASSOCIATES OF TENNESSEE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A",
        "authorized_official_last_name": "FRANKLIN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "CO-ADMINISTRATOR",
        "authorized_official_telephone_number": "615-340-4014"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3709726",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; 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.