Individual provider Active NPI

Timothy Allen Viser, MD

  • Otolaryngology/Facial Plastic Surgery Physician
  • Cleveland, TN
National Provider Identifier
1871601286
Registry record updated Apr 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
21512 Issued in TN
Practice address
2414 Chambliss Avenue
Cleveland, TN 37320-5030
Phone
(423) 472-6581
Fax
(423) 472-2425
NPI assigned
Aug 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 21512 TN Primary

Addresses

Primary practice location

2414 Chambliss Avenue
Cleveland, TN 37320-5030

Mailing address

2414 Chambliss Ave NW
PO Box 5030
Cleveland, TN 37311-3879
Phone (434) 472-6581

Other identifiers 1

IdentifierTypeStateIssuer
3060861MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21512TNMDOtolaryngology/Facial Plastic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1156550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303862400000",
    "number": "1871601286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 CHAMBLISS AVE NW",
            "address_2": "PO BOX 5030",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113879",
            "telephone_number": "434-472-6581",
            "fax_number": "423-472-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 CHAMBLISS AVENUE",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373205030",
            "telephone_number": "423-472-6581",
            "fax_number": "423-472-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISER",
        "first_name": "TIMOTHY",
        "middle_name": "ALLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-26",
        "last_updated": "2011-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "TN",
            "license": "21512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3060861",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.