Meadowview Ear Nose and Throat Spec PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

MEADOWVIEW EAR NOSE AND THROAT SPEC PC

Practice address

Five Sheridan Square
Kingsport, TN 37660-7390

Phone

(423) 246-8155

Fax

(423) 246-8658

NPI assigned

Jun 21, 2005

Last updated

Jun 1, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Aylitta Collins

Title

Practice Manager

Phone

(423) 246-8155

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Meadowview ENT Specialists Other name

Medicare fee-for-service enrollment

Enrolled in TN, VA2 enrollments

Enrollment records 2

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Lynn Greiner, D.O.

  • Otolaryngology Physician
  • Kingsport, TN
  • NPI 1447469952
  Medicare reassignment NPD
• David R Osterhus, M.D.

  • Otolaryngology Physician
  • Kingsport, TN
  • NPI 1619973047

  VA

  Medicare reassignment NPD
• Gina B Roberson, AUD

  • Audiologist
  • Kingsport, TN
  • NPI 1053586958
  Medicare reassignment NPD
• William J Wallace, D.O.

  • Otolaryngology Physician
  • West Columbia, SC
  • NPI 1275539603

  TN, VA

  Medicare reassignment NPD
• Kadie Sharrett, AUD

  • Audiologist
  • Bristol, TN
  • NPI 1285405845
  NPD
• David Cowden, MD

  • Otolaryngology Physician
  • Kingsport, TN
  • NPI 1831192871
  NPD (past)
• Randall Falconer, MD

  • Otolaryngology Physician
  • Kingsport, TN
  • NPI 1104829134
  NPD (past)
• Toby N Johnson, M.A., CCC-A

  • Audiologist
  • Kingsport, TN
  • NPI 1538334446
  NPD (past)
• Bobby Dean Reynolds II, FNP

  • Family Nurse Practitioner
  • Elizabethton, TN
  • NPI 1356455174
  NPD (past)

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654041600000",
    "number": "1417953845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FIVE SHERIDAN SQUARE",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376607390",
            "telephone_number": "423-246-8155",
            "fax_number": "423-246-8658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FIVE SHERIDAN SQUARE",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376607390",
            "telephone_number": "423-246-8155",
            "fax_number": "423-246-8658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWVIEW EAR NOSE AND THROAT SPEC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "AYLITTA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "423-246-8155",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65941577",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meadowview ENT Specialists",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jennifer Whitley McReynolds, PHARMD
• Alan V Meade, PT
• Cassie Jeanette Meadows, FNP
• Meadowview ASC, LLC
• Meadowview Durable Medical Equipment
• Meadowview Family Dentistry, PLLC
• Medical Diagnostic Services,LLC (MMDS International)
• Medical Education Assistance Corporation
• Medical Education Assistance Corporation (University Physicians Practice Group- Etsu FM Kingsport)
• Medical Mall Pharmacy Inc (Wellmont Outpatient Pharmacy)

• Specialist in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.