NPIMap

Organization Active NPI

East Tennessee Ear, Nose & Throat Specialists, PC

  • Otolaryngology Physician
  • Oak Ridge, TN
National Provider Identifier
1467552216
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
EAST TENNESSEE EAR, NOSE & THROAT SPECIALISTS, PC
Practice address
800 Oak Ridge Turnpike
Suite C-100
Oak Ridge, TN 37830
Phone
(865) 483-2288
Fax
(865) 482-4400
NPI assigned
Sep 22, 2006
Last updated
Jan 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Authorized official

Name
Holly Michelle Smith
Title
Practice Manager
Phone
(865) 483-2288

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Otolaryngology Physician 207Y00000X NU Primary
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X NU
Audiologist 231H00000X NU
Audiology Assistant 2355A2700X NU

Addresses

Primary practice location

800 Oak Ridge Turnpike
Suite C-100
Oak Ridge, TN 37830

Mailing address

800 Oak Ridge Tpke Ste C100
Oak Ridge, TN 37830-6927
Phone (865) 483-2288

Other practice location 1

1855 Tanner Way Ste 130
Harriman, TN 37748-8332
Phone (865) 882-1600

Other practice location 2

109 Independence Ln Ste 500
LA Follette, TN 37766-3040
Phone (423) 562-9744

Other identifiers 2

IdentifierTypeStateIssuer
65904229MedicaidKY
3373518MedicaidTN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040607000040 TN Part B Supplier - Clinic/Group Practice 0749262459 Receives reassigned benefits from 13 practitioners
Practice locations: Harriman, TN; Oak Ridge, TN

National Provider Directory

National Provider Directory

Locations

1855 Tanner Way
#140
Harriman, TN 37748
Phone (865) 882-1600

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHDGCD

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768780800000",
    "number": "1467552216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 OAK RIDGE TPKE STE C100",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306927",
            "telephone_number": "865-483-2288",
            "fax_number": "865-482-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 OAK RIDGE TURNPIKE",
            "address_2": "SUITE C-100",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "37830",
            "telephone_number": "865-483-2288",
            "fax_number": "865-482-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1855 Tanner Way Ste 130",
            "address_purpose": "LOCATION",
            "city": "Harriman",
            "state": "TN",
            "postal_code": "377488332",
            "country_code": "US",
            "telephone_number": "865-882-1600",
            "fax_number": "865-285-9684",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 Independence Ln Ste 500",
            "address_purpose": "LOCATION",
            "city": "LA Follette",
            "state": "TN",
            "postal_code": "377663040",
            "country_code": "US",
            "telephone_number": "423-562-9744",
            "fax_number": "423-544-1862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EAST TENNESSEE EAR, NOSE & THROAT SPECIALISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "865-483-2288"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2355A2700X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Audiology Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65904229",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3373518",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Ridge, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; 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.