Unknown Individual – Otolaryngology Physician, NPI 1508835679
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
704, Knob Creek Road, West Hills, Johnson City, Washington County, Tennessee, 37604, United States
JOHNSON CITY, TN 376042977
Phone: (423) 929-9101
Type: Location
117, Ridgemont Road, Tanglewood, Bel Air One, Johnson City, Washington County, East Tennessee, Tennessee, 37601, United States
JOHNSON CITY, TN 376014629
Phone: (423) 929-9101
Fax: (423) 434-2032
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $70.
Total Amount is formed as General ($70) + Research ($0) + Ownership ($0) = $70.
Last reported payment date: 2024-03-28 • Largest payer in this snapshot: Masimo Corporation ($36).
Total Amount
$70
General + Research + Ownership
Payments
3
Total payment records
General Amount
$70
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Masimo Corporation | $36 |
| Boston Scientific Corporation | $34 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 37604)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TN | |
| Physician Assistant | TN | |
| Qualified Audiologist | VA | |
| O T O L A R Y N G O L O G Y | TN | |
| Qualified Audiologist | TN | |
| Physician Assistant | TN | |
| O T O L A R Y N G O L O G Y | WI | |
| Otolaryngology, Allergy/Immunology | TN | |
| Physician Assistant | TN | |
| O T O L A R Y N G O L O G Y | IA |
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