NPI Code Details Logo

NPI 1730388117

NPI 1730388117 : EAR NOSE & THROAT SPECIALISTS OF NASHVILLE, PLC : NASHVILLE, TN

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1730388117
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    EAR NOSE & THROAT SPECIALISTS OF NASHVILLE, PLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/16/2007
-----------------------------------------------------
    Last Update Date     |    10/15/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    341 WALLACE RD STE D 
-----------------------------------------------------
    City                 |    NASHVILLE
-----------------------------------------------------
    State                |    TN
-----------------------------------------------------
    Zip                  |    37211-8001
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    888-938-3838
-----------------------------------------------------
    Fax                  |    888-919-1083
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    10001 W INNOVATION DR STE 200 
-----------------------------------------------------
    City                 |    MILWAUKEE
-----------------------------------------------------
    State                |    WI
-----------------------------------------------------
    Zip                  |    53226-4851
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    888-938-3838
-----------------------------------------------------
    Fax                  |    888-919-1083
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PRACTICE MANAGER
-----------------------------------------------------
    Name                 |     QUINESHA  BEVELS 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    615-832-2200
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207Y00000X
-----------------------------------------------------
    Taxonomy Name        |    Otolaryngology Physician
-----------------------------------------------------
    License Number       |    42482
-----------------------------------------------------
    License Number State |    TN
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.