DR. BANCROFT OQUINN JR. (NPI# 1184640336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184640336 |
Entity Type | Individual |
Full Name | DR. BANCROFT OQUINN JR. |
Credential | MD |
Practice Address |
1405 Baddour Parkway Suite 106 Lebanon TN 37087 |
Practice Telephone | 6154446500 |
Practice Fax Number | 6154491306 |
Mailing Telephone | 6154446500 |
Mailing Fax Number | 6154491306 |
Enumeration Date | 2006-07-14 |
Last Update Date | 2012-07-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Y00000X | Otolaryngology | MD0000018417 | TN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AETNA | 4066065 | 01 | |
BLUUE CROSS | 73029 | 01 | |
TN | 3029464 | 05 |
Street Address |
1405 BADDOUR PARKWAY SUITE 106 |
City | LEBANON |
State | TN |
Zip Code | 37087 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467051698 | Results-ast Jv, LLC | Physical Therapist | 1420 West Baddour Parkway, Suite 102, Lebanon, TN 37087 | 2020-10-19 |
1306405725 | Angela Kurtz | Hearing Instrument Specialist | 1430 West Baddour Parkwayste D, Lebanon, TN 37087 | 2019-06-10 |
1164926937 | Andrea Christine Morrisett | Physical Therapist | 404 N Castle Heights Ave Ste G, Lebanon, TN 37087 | 2018-03-19 |
1942731492 | Rocky Mountain Holdings, LLC | Ambulance | 760d Franklin Rd, Lebanon, TN 37087 | 2017-03-27 |
1326409285 | Karina Lawrence | Speech-Language Pathologist | 1006 Keaton Street, Lebanon, TN 37087 | 2016-03-18 |
1174910491 | Yehualashet Bekele Hailemariam | Internal Medicine | 1411 W Baddour Pkwy,lebanon Tn 37087, Lebanon, TN 37087 | 2015-04-24 |
1043614829 | Jean Thompson | Behavioral Analyst | 1004 Hickory Hill Lane, Suite 2, Hermitage, TN 37087 | 2014-10-22 |
1588072771 | La Keisha Fair | Community Health Worker | 1 Cumberland Square, Lebanon, TN 37087 | 2014-07-31 |
1023440609 | James Martin Meadows | Specialist/Technologist | One Cumberland Square, Lebanon, TN 37087 | 2013-08-06 |
1336571231 | Lori Ann De Leo | Social Worker | 109 Autumn Creek, Lebanon, TN 37087 | 2013-08-01 |
Find all providers in zip 37087 |
Taxonomy Code | 207Y00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528095171 | John Joseph Moffitt | Otolaryngology | 927 Russell Dr, Lebanon, PA 17042-7487 | 2006-06-27 |
1407824535 | James E Saunders | Otolaryngology | One Medical Center Dr., Dhmc Division of Otolarynoglogy, Lebanon, NH 03756-0001 | 2006-03-14 |
1144226317 | Charles Layton Elliott | Otolaryngology | 2705 N Lebanon St Ste 365, Lebanon, IN 46052-8621 | 2005-06-22 |
1679990808 | Ryan E Little | Otolaryngology | One Medical Center Dr, Lebanon, NH 03756-0001 | 2014-03-26 |
1508150624 | Robert Manuel Boucher | Otolaryngology | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2011-06-06 |
1326365024 | Emily Joan-ying Lo | Otolaryngology | 2705 N Lebanon St Ste 365, Lebanon, IN 46052-8621 | 2010-04-21 |
1023284148 | Gary Leland Freed Jr. | Otolaryngology | 1 Medical Center Dr, Dhmc Plastic Surgery, Lebanon, NH 03756-1000 | 2008-05-08 |
1003081597 | Sarah S Seo | Otolaryngology | 1 Medical Center Dr, Otolaryngology, Lebanon, NH 03756-1000 | 2008-04-25 |
1124217070 | Giridhar Venkatraman | Otolaryngology | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2007-10-16 |
1700975620 | Joseph A Paydarfar | Otolaryngology | 1 Medical Center Dr, Division of Otolaryngology, Lebanon, NH 03756-1000 | 2006-10-11 |
Find all providers in LEBANON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.