Ram K Thinakkal MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

44177 Issued in TN

Legal business name

RAM K THINAKKAL MD

Doing business as

Family ENT & Allergy Clinic

Practice address

521 Medical Dr
Livingston, TN 38570-1879

Phone

(931) 403-6101

Fax

(931) 403-6102

NPI assigned

Dec 3, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Ram K Thinakkal, MDNPI 1225035173

Title

MD/President

Phone

(931) 403-6101

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Family ENT & Allergy Clinic Doing business as

Practitioners 1

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

• Ram K Thinakkal, M.D.

  • Allergy & Immunology Physician
  • Livingston, TN
  • NPI 1225035173
  NPD (past) Authorized official

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303084800000",
    "number": "1881839090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 MEDICAL DR",
            "city": "LIVINGSTON",
            "state": "TN",
            "postal_code": "385701879",
            "telephone_number": "931-403-6101",
            "fax_number": "931-403-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 MEDICAL DR",
            "city": "LIVINGSTON",
            "state": "TN",
            "postal_code": "385701879",
            "telephone_number": "931-403-6101",
            "fax_number": "931-403-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAM K THINAKKAL MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-03",
        "last_updated": "2011-04-18",
        "status": "A",
        "authorized_official_last_name": "THINAKKAL",
        "authorized_official_first_name": "RAM",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MD/PRESIDENT",
        "authorized_official_telephone_number": "931-403-6101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "TN",
            "license": "44177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1509617",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family ENT & Allergy Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Luther Greene Puckett IV, D.D.S.
• Jaci Kate Qualls, FNP-BC
• Tiffany Quinlan
• Jamie Radcliff
• Laura Raines
• Mary Jo Ramsey, R.PH.
• Kaylee Abigail Reagon, RN
• Richard Rhodenbaugh II, PTA
• Mallory Latoya Richardson, RN, MSN
• Robert V Richardson, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.