Clifford Q Johnson Jr. (NPI# 1164424438, PAC ID# 0840103842) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1164424438 |
| PAC ID by PECOS | 0840103842 |
| Professional Enrollment ID | I20101116000469 |
| Full Name | Clifford Q Johnson Jr. |
| Organization Legal Name | EAR NOSE AND THROAT CONSULTANTS OF EAST TN |
| Address |
9430 Park W Blvd Suite 330 Knoxville TN 37923-4203 |
| Phone Number | 8656936065 |
| Gender | M |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 1972 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 5092763532 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440173 | PARKWEST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 9430 Park W Blvd, Suite 330, Knoxville, TN 37923-4203 | 8656936065 | EAR NOSE AND THROAT CONSULTANTS OF EAST TN |
| Organization Legal Name | EAR NOSE AND THROAT CONSULTANTS OF EAST TN |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas John Panella | Otolaryngology | Ear Nose and Throat Consultants of East Tn | 576 Ft Loudon Medcial Ctr Dr, Suite 207, Lenoir City, TN 37772 |
| Michelle Lynn Dearmond | Qualified Audiologist | Ear Nose and Throat Consultants of East Tn | 275 Cherokee Professional Park, Maryville, TN 37804-5155 |
| Jalene M Nadeau | Qualified Audiologist | Ear Nose and Throat Consultants of East Tn | 576 Ft Loudon Medcial Ctr Dr, Suite 207, Lenoir City, TN 37772 |
| Kelly J Mcelligott | Qualified Audiologist | Ear Nose and Throat Consultants of East Tn | 501 20th St, Suite 204, Knoxville, TN 37916-1881 |
| Brandalyn F Breeden | Qualified Audiologist | Ear Nose and Throat Consultants of East Tn | 9430 Park W Blvd, Suite 330, Knoxville, TN 37923-4203 |
| Andrea Plotkowski | Qualified Audiologist | Ear Nose and Throat Consultants of East Tn | 576 Ft Loudon Medcial Ctr Dr, Suite 207, Lenoir City, TN 37772 |
| Samuel M Overholt | Otolaryngology | Ear Nose and Throat Consultants of East Tn | 9430 Park W Blvd, Suite 330, Knoxville, TN 37923-4203 |
| Michael T Seals | Otolaryngology | Ear Nose and Throat Consultants of East Tn | 501 20th St, Suite 204, Knoxville, TN 37916-1881 |
| Jaclyn V Drolet | Qualified Audiologist | Ear Nose and Throat Consultants of East Tn | 9430 Park W Blvd, Suite 330, Knoxville, TN 37923-4203 |
| Janis D Ragsdale | Qualified Audiologist | Ear Nose and Throat Consultants of East Tn | 501 20th St, Suite 204, Knoxville, TN 37916-1881 |
| Street Address |
9430 PARK W BLVD SUITE 330 |
| City | KNOXVILLE |
| State | TN |
| Zip | 37923-4203 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael C. Tompkins | Orthopedic Surgery | Tennessee Orthopaedic Clinics, PC | 9430 Park W Blvd, Suite 130, Knoxville, TN 37923-4205 |
| Colin D Booth | Orthopedic Surgery | Tennessee Orthopaedic Clinics, PC | 9430 Park W Blvd, Suite 130, Knoxville, TN 37923-4205 |
| Timothy S Wilson | Plastic and Reconstructive Surgery | 9430 Park W Blvd, Suite 240, Knoxville, TN 37923-4204 | |
| Theresa C Bonner | Certified Registered Nurse Anesthetist (crna) | Integrated Anesthesia Services, Plc | 9430 Park W Blvd, Suite 320, Knoxville, TN 37923-4209 |
| Daniel P Fowler | Plastic and Reconstructive Surgery | Knoxville Center for Dermatology and Plastic Surgery Pl | 9430 Park W Blvd, Suite 240, Knoxville, TN 37923-4204 |
| Allix Bullock | Physician Assistant | Premier Surgical Associates Pllc | 9430 Park W Blvd, Suite 310, Knoxville, TN 37923-4203 |
| Katrina T Aberdeen | Nurse Practitioner | Tennessee Orthopaedic Clinics, PC | 9430 Park W Blvd, Suite 130, Knoxville, TN 37923-4205 |
| Kenneth R O Kelley | Obstetrics/gynecology | Generations Obgyn,p.c. | 9430 Park W Blvd, Suite 320, Knoxville, TN 37923-4209 |
| Brandalyn F Breeden | Qualified Audiologist | Ear Nose and Throat Consultants of East Tn | 9430 Park W Blvd, Suite 330, Knoxville, TN 37923-4203 |
| Tracy A Pesut | Orthopedic Surgery | Tennessee Orthopaedic Clinics, PC | 9430 Park W Blvd, Suite 130, Knoxville, TN 37923-4205 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald Allen | Psychologist, Clinical | 9217 Park W Blvd, Suite D 1, Knoxville, TN 37923 | |
| Renee J Repka | Psychologist, Clinical | 9217 Park W Blvd, Suite D 1, Knoxville, TN 37923 | |
| Terry L Hallwachs | Physician Assistant | Southeastern Emergency Services P C | 9352 Park W Blvd, Knoxville, TN 37923 |
| Krystal C Killom | Nurse Practitioner | Gregory Brewer, M.d.,pllc | 314 Prosperity Dr, Knoxville, TN 37923 |
| Catherine D Custer | Nurse Practitioner | Minuteclinic Diagnostic of Tennessee PC | 9137 Middlebrook Pike, Knoxville, TN 37923-1425 |
| Sharon L Cathers | Nurse Practitioner | The Little Clinic of Tennessee LLC | 9161 Middlebrook Pike, Knoxville, TN 37923-1438 |
| Lisa Fincher Mccune | Registered Dietitian Or Nutrition Professional | The Little Clinic of Tennessee LLC | 9161 Middlebrook Pike, Knoxville, TN 37923-1438 |
| Sherri Gray | Nurse Practitioner | Summit Medical Group, Pllc | 8635 Middlebrook Pike, Knoxville, TN 37923-1612 |
| Sandra Daniels | Physical Therapy | Kramer Physical Therapy LLC | 8663 Middlebrook Pike, Knoxville, TN 37923-1612 |
| Patricia S. Green | Physical Therapy | Kramer Physical Therapy LLC | 8663 Middlebrook Pike, Knoxville, TN 37923-1612 |
| Find all physicians in zip 37923 | |||
| City | KNOXVILLE |
| Zip Code | 37923 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | KNOXVILLE + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Clifford Q Johnson Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.