West Tennessee ENT Clinic, P.a.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

WEST TENNESSEE ENT CLINIC, P.A.

Practice address

619 Skyline Dr
Jackson, TN 38301-3903

Phone

(731) 424-3682

Fax

(731) 423-2714

NPI assigned

Aug 17, 2005

Last updated

Aug 22, 2020By 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

Dr. William Keith Wainscott, M.D.NPI 1700878501

Title

President

Phone

(731) 424-3682

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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.

• William Keith Wainscott, M.D.

  • Otolaryngology Physician
  • Jackson, TN
  • NPI 1700878501
  Authorized official Same address or phone

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720070535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 SKYLINE DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013903",
            "telephone_number": "731-424-3682",
            "fax_number": "731-423-2714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 SKYLINE DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013903",
            "telephone_number": "731-424-3682",
            "fax_number": "731-423-2714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST TENNESSEE ENT CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAINSCOTT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "731-424-3682",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3382042",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• West Tennessee Anesthesia, PC
• West Tennessee Bone and Joint Clinic PC
• West Tennessee Center for Oral and Facial Surgery
• West Tennessee Cerebral Palsy Association
• West Tennessee Dentistry PLLC (Dove Family Dentistry)
• West Tennessee Eye Associates PC (The Hughes Eye Center)
• West Tennessee Hand Center, PLLC
• West Tennessee Healthcare Anesthesia Associates PLLC
• West Tennessee Healthcare Hospitalists Inc
• West Tennessee Hearing & Speech Center, Inc

• Otolaryngology Physician in Jackson, TN
• Providers in Jackson, TN by specialty
• Otolaryngology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.