Lincoln Ear Nose and Throat

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

41519 Issued in TN

Legal business name

LINCOLN EAR NOSE AND THROAT

Practice address

108 Medical Center Blvd
Suite 175
Fayetteville, TN 37334-2741

Phone

(931) 433-2909

Fax

(931) 438-7447

NPI assigned

Mar 1, 2011

Organization subpart

No

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

Authorized official

Name

David Groce

Title

Cfo

Phone

(931) 433-1100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1760780688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 MEDICAL CENTER BLVD",
            "address_2": "SUITE 175",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373342741",
            "telephone_number": "931-433-2909",
            "fax_number": "931-438-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 MEDICAL CENTER BLVD",
            "address_2": "SUITE 175",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373342741",
            "telephone_number": "931-433-2909",
            "fax_number": "931-438-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN EAR NOSE AND THROAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-01",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "GROCE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "931-433-1100"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "TN",
            "license": "41519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lincare Inc.
• Lincoln Al Opco LLC
• Lincoln Anesthesia Services PLLC
• Lincoln Care
• Lincoln County Vision Center
• Lincoln Medical Center
• Lincoln Medical Center
• Lincoln Medical Center
• Lincoln Medical Center Ambulance Service
• Lincoln Medical Center Cardiology Clinic

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.