Greeneville Ear, Nose & Throat Specialists, Mpllc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

GREENEVILLE EAR, NOSE & THROAT SPECIALISTS, MPLLC

Practice address

1410 Tusculum Blvd
2500
Greeneville, TN 37745-4286

Phone

(423) 638-1291

Fax

(423) 638-9398

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

Beth Graham

Title

Office Manager

Phone

(423) 638-1291

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 6

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

• Susan P Abernathy, D.O.

  • Otolaryngology Physician
  • Greeneville, TN
  • NPI 1780632141
  Medicare reassignment Care Compare group NPD
• Jackson Marshall, AUD

  • Audiologist
  • Greeneville, TN
  • NPI 1881374114
  Medicare reassignment Care Compare group NPD
• Thomas Carrino, P.A.

  • Medical Physician Assistant
  • Greeneville, TN
  • NPI 1871541250
  Medicare reassignment Care Compare group
• John-Thomas Carrino, P.A.

  • Physician Assistant
  • Fort Walton Beach, FL
  • NPI 1366814378

  TN

  Medicare reassignment Care Compare group
• Tracy Stueber

  • Audiologist
  • Nashville, TN
  • NPI 1629249669
  NPD (past)
• Allison McCrory, M.D.

  • Dermatology Physician
  • Portland, ME
  • NPI 1992753743
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632787200000",
    "number": "1700965878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 TUSCULUM BLVD",
            "address_2": "2500",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454286",
            "telephone_number": "423-638-1291",
            "fax_number": "423-638-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 TUSCULUM BLVD",
            "address_2": "2500",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454286",
            "telephone_number": "423-638-1291",
            "fax_number": "423-638-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENEVILLE EAR, NOSE & THROAT SPECIALISTS, MPLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "423-638-1291"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3373004",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christie L Greene, LCSW-A
• Greeneville Anesthesia Services
• Greeneville Chiropractic Inc
• Greeneville Chiropractic Inc
• Greeneville City Schools
• Greeneville Emergency Physicians Medical Group PC
• Greeneville Evaluation Service
• Greeneville Eye Clinic
• Greeneville Eye Clinic Optical Shop
• Greeneville Orthopaedic Clinic, P.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.