LINCOLN EAR NOSE AND THROAT (NPI# 1760780688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760780688 |
| Entity Type | Organization |
| Organization Name | LINCOLN EAR NOSE AND THROAT |
| Practice Address |
108 Medical Center Blvd Suite 175 Fayetteville TN 37334-2741 |
| Practice Telephone | 9314332909 |
| Practice Fax Number | 9314387447 |
| Mailing Telephone | 9314332909 |
| Mailing Fax Number | 9314387447 |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2011-03-01 |
| Authorized Official Name | DAVID GROCE (CFO) |
| Authorized Official Telephone | 9314331100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 41519 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
108 MEDICAL CENTER BLVD SUITE 175 |
| City | FAYETTEVILLE |
| State | TN |
| Zip Code | 37334-2741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326052408 | William A Edwards | Family Medicine | 108 Medical Center Blvd, Suite G 50, Fayetteville, TN 37334-2741 | 2006-07-27 |
| 1356895999 | Katrina Margaret Dial | Advanced Practice Midwife | 108 Medical Center Blvd, Suite 150, Fayetteville, TN 37334-2741 | 2016-08-11 |
| 1053604298 | Lincoln Medical Center Obgyn Clinic | Obstetrics & Gynecology | 108 Medical Center Blvd, Suite 150, Fayetteville, TN 37334-2741 | 2011-05-20 |
| 1760783104 | Lincoln Medical Center Orthopedic Clinic | Orthopaedic Surgery | 108 Medical Center Blvd, Suite 100, Fayetteville, TN 37334-2684 | 2010-11-16 |
| 1174824783 | Top Flight Medical Group LLC | Specialist | 108 Medical Center Blvd, Suite G25, Fayetteville, TN 37334-2741 | 2010-11-12 |
| 1578885620 | Lincoln Medical Group | Specialist | 108 Medical Center Blvd, Suite 150, Fayetteville, TN 37334 | 2010-02-17 |
| 1811165616 | Lincoln Medical Center Cardiology Clinic | Specialist | 108 Medical Center Blvd, Suite 125, Fayetteville, TN 37334-2741 | 2008-02-14 |
| 1023299823 | Lincoln Medical Center Surgical Clinic | Clinic/Center | 108 Medical Center Blvd, Suite 175, Fayetteville, TN 37334-2741 | 2007-11-20 |
| 1497957237 | Lincoln Medical Center Orthopedic Clinic | Orthopaedic Surgery | 108 Medical Center Blvd, Ste 175, Fayetteville, TN 37334-2741 | 2007-06-04 |
| 1134248990 | Tennessee Oncology Pllc | Internal Medicine | 108 Medical Center Blvd, Ste G25, Fayetteville, TN 37334-2741 | 2007-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902385198 | Denisia Bernadette Maldonado | Specialist/Technologist, Other | 108 Medical Center Blvd., Suite #100, Fayetteville, TN 37334 | 2018-08-09 |
| 1457801011 | Joshua Meadows | Specialist/Technologist | 101 Industrial Blvd, Fayetteville, TN 37334 | 2016-10-07 |
| 1891083762 | Kathryn Clare Moran | Physical Therapist | 1412 Huntsville Hwy, Fayetteville, TN 37334 | 2011-07-13 |
| 1891997714 | Calvin H Parks | Chiropractor | 1321 Huntsville Hwy, Fayetteville, TN 37334 | 2007-06-04 |
| 1225249691 | Stacey Starr Pace | Family Medicine | 1931 Wilson Pky, Suite A, Fayetteville, TN 37334 | 2007-05-25 |
| 1144388992 | Tom Spain Bigham IIi | Dentist | 608 West College Street, Fayetteville, TN 37334 | 2006-12-05 |
| 1932286259 | Alan B Drewry | Dentist | 602 West College Street, Fayetteville, TN 37334 | 2006-11-01 |
| 1083724561 | Samuel Michael Ashby | Internal Medicine | 804 William D Jones Blvd, Fayetteville, TN 37334 | 2006-08-30 |
| 1194336818 | Collin Amos | Pharmacist | 1000 Huntsville Hwy, Fayetteville, TN 37334 | 2020-08-14 |
| 1629450614 | William Daniel | Nurse Practitioner | 106 Medical Center Blvd, Fayetteville, TN 37334 | 2015-06-25 |
| Find all providers in zip 37334 | ||||
| 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 |
|---|---|---|---|---|
| 1629232418 | Tucker Martin Harris | Otolaryngology | 4000 Medical Center Dr # 117, Fayetteville, NY 13066 | 2008-07-11 |
| 1912911934 | Carlton Lee Chambers IIi | Otolaryngology | 228 E Sunbridge Dr, V A Ent Clinic, Fayetteville, AR 72703-1823 | 2006-07-27 |
| 1346206976 | Kenneth Thomas Bellian | Otolaryngology | 1839 Quiet Cove, Fayetteville, NC 28304-3857 | 2006-04-22 |
| 1417935461 | Sabina Petra Francis | Otolaryngology | 2053 Valleygate Drive, Suite 101, Fayetteville, NC 28304 | 2006-01-09 |
| 1316346976 | Cumberland County Hospital System Inc | Otolaryngology | 1565 Purdue Dr, Suite 301, Fayetteville, NC 28303-5536 | 2014-08-20 |
| 1790001758 | Shan Tang | Otolaryngology | 1839 Quiet Cv, Fayetteville, NC 28304-3857 | 2010-04-15 |
| 1104023951 | Elizabeth Mccurdy Hueman | Otolaryngology | 1839 Quiet Cv, Fayetteville, NC 28304-3857 | 2007-06-27 |
| 1376509778 | William James Wiggs Jr. | Otolaryngology | 1839 Quiet Cove, Fayetteville, NC 28304-3857 | 2006-04-25 |
| 1255397881 | Robert Richard Friedrichs | Otolaryngology | 2053 Valleygate Drive, Ste. 101, Fayetteville, NC 28304-3983 | 2006-04-22 |
| 1164488797 | Steven Thomas Pantelakos | Otolaryngology | 1839 Quiet Cove, Fayetteville, NC 28304-3857 | 2006-04-22 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 37334 |
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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.