Dr Clifford Q Johnson,jr, MD | |
9430 Park West Blvd, Ste 330, Knoxville, TN 37923-4203 | |
(865) 693-6065 | |
(865) 531-6325 |
Full Name | Dr Clifford Q Johnson,jr |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Location | 9430 Park West Blvd, Knoxville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164424438 | NPI | - | NPPES |
3166534 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 7979 (Tennessee) | Primary |
Entity Name | Tennessee Ear, Nose & Throat Consultants, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255352266 PECOS PAC ID: 5092763532 Enrollment ID: O20050111000529 |
Mailing Address | Practice Location Address |
---|---|
Dr Clifford Q Johnson,jr, MD Po Box 31547, Knoxville, TN 37930-1547 Ph: (865) 693-6065 | Dr Clifford Q Johnson,jr, MD 9430 Park West Blvd, Ste 330, Knoxville, TN 37923-4203 Ph: (865) 693-6065 |
Dr. Nicholas John Panella, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 9430 Park West Blvd Ste 330, Knoxville, TN 37923 Phone: 865-693-6065 | |
Dr. Michael J Belmont, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 2100 W Clinch Ave, Suite 410, Knoxville, TN 37916 Phone: 865-521-6005 Fax: 865-521-6088 | |
Jameson Kyle Mattingly, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 9430 Park West Blvd Ste 330, Knoxville, TN 37923 Phone: 865-693-6065 Fax: 865-531-6325 | |
Dr. Mark Thomas Gurley, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 144 Concord Rd, Knoxville, TN 37934 Phone: 865-777-1727 Fax: 865-966-0942 | |
Dr. Joe Alan Graves, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 2100 W Clinch Ave, Suite 330, Knoxville, TN 37916 Phone: 865-673-8229 Fax: 865-673-8893 | |
Dr. John P Little, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 2100 W Clinch Ave Ste 410, Knoxville, TN 37916 Phone: 865-521-6005 Fax: 865-521-6088 |