NPIMap

Organization Active NPI

Ear Nose and Throat Associates PC

  • Otolaryngology Physician
  • Johnson City, TN
National Provider Identifier
1992734644
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
EAR NOSE AND THROAT ASSOCIATES PC
Practice address
2340 Knob Creek Rd Ste 704
Johnson City, TN 37604-2977
Phone
(423) 929-9101
Fax
(423) 434-2032
NPI assigned
Jul 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Authorized official

Name
Timothy Paul Zajonc, MDNPI 1336117779
Title
Partner/President
Phone
(423) 929-9101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

2340 Knob Creek Rd Ste 704
Johnson City, TN 37604-2977

Mailing address

2340 Knob Creek Rd Ste 704
Johnson City, TN 37604-2977
Phone (423) 929-9101

Other identifiers 1

IdentifierTypeStateIssuer
CA7519OtherTNRAILROAD MEDICARE

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2188077Ear, Nose, & Throat Associates, PC2340 Knob Creek Road Suite 704, Johnson City, TN 37604Certificate of waiverJul 12, 2028

National Provider Directory

National Provider Directory

Locations

208 E Watauga Ave
Johnson City, TN 37601

2340 Knob Creek Rd
Johnson City, TN 37604

Interoperability endpoints

  • Direct secure messaging: carolinederrick@entatn.allscriptsdirect.net
  • Direct secure messaging: mikejohnson@entatn.allscriptsdirect.net
  • Direct secure messaging: johnathanwinstead@entatn.allscriptsdirect.net
  • Direct secure messaging: wendigibson@entatn.allscriptsdirect.net
  • Direct secure messaging: bruceabkes@entatn.allscriptsdirect.net
  • Direct secure messaging: marthasherrill@entatn.allscriptsdirect.net
  • Direct secure messaging: anthonygrady@entatn.allscriptsdirect.net
  • Direct secure messaging: jasonwalls@entatn.allscriptsdirect.net
  • Direct secure messaging: kenlewoczko@entatn.allscriptsdirect.net
  • Direct secure messaging: tobyjohnson@entatn.allscriptsdirect.net
  • Direct secure messaging: timzajonc@entatn.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 12

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

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1992734644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 KNOB CREEK RD STE 704",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042977",
            "telephone_number": "423-929-9101",
            "fax_number": "423-434-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 KNOB CREEK RD STE 704",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042977",
            "telephone_number": "423-929-9101",
            "fax_number": "423-434-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR NOSE AND THROAT ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A",
        "authorized_official_last_name": "ZAJONC",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PARTNER/PRESIDENT",
        "authorized_official_telephone_number": "423-929-9101",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CA7519",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.