DR. BANCROFT OQUINN JR.


Address: 1405 Baddour Parkway, Suite 106, Lebanon, TN 37087
Phone: 6154446500

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology MD0000018417 TN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AETNA 4066065 01
BLUUE CROSS 73029 01
TN 3029464 05

Office Location

Street Address 1405 BADDOUR PARKWAY
SUITE 106
City LEBANON
State TN
Zip Code 37087

Providers in the same zip code

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 Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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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City LEBANON
Zip Code 37087

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Dataset Information

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.

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