CANONICO EAR, NOSE AND THROAT, P.C.
NPI 1932177805
Otolaryngology - Plastic Surgery within the Head & Neck in Tullahoma, TN

Q: What is Canonico Ear, Nose And Throat, P.C.'s NPI number?

The NPI number for Canonico Ear, Nose And Throat, P.C. is 1932177805. It was assigned to this organization in the NPPES registry on March 8, 2006. The provider was formerly known as Ear, Nose And Throat Associates Of Middle Tennessee, P.C..

Q: What is Canonico Ear, Nose And Throat, P.C.'s specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Active since March 08, 2006

507 NW ATLANTIC ST, TULLAHOMA, TN 37388(931) 393-4332(931) 393-2304 Get Directions Write a Review

NPPES record last updated: April 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 20, 2021, Mar 2, 2016 (2 updates tracked since 2016).

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About Canonico Ear, Nose And Throat, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANONICO EAR, NOSE AND THROAT, P.C. (NPI 1932177805), doing business as Ear, Nose And Throat Associates Of Middle Tennessee, P.c., is a healthcare organization registered as a plastic surgery within the head & neck in Tullahoma, Tennessee and active in the NPI registry since March 2006. The organization lists Tandie L Moyers, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1932177805

Entity TypeOrganization

Primary Taxonomy207YX0007X

Legal Business NameCANONICO EAR, NOSE AND THROAT, P.C.

Location Address507 NW ATLANTIC STTullahoma, TN 37388-3504

Mailing Address507 Nw Atlantic StTullahoma, TN 37388-3504 · (931) 393-4332 · Fax (931) 393-2304

Phone(931) 393-4332

Fax(931) 393-2304

Organization SubpartNo

Authorized OfficialTandie L MoyersOffice Manager · (931) 684-3504

Enumeration DateMarch 8, 2006

Last NPPES UpdateApril 20, 20212 updates tracked since enumeration

NPPES CertifiedApril 20, 2021

✔ NPI 1932177805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians

Taxonomy Code207YX0007X

Definition

An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.

507 NW ATLANTIC ST, Tullahoma, TN 37388

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Other Names 1

Former Legal Business NameEar, Nose And Throat Associates Of Middle Tennessee, P.c.

Other Identifiers 3

Other3710667TN · Railroad Medicare

Other4064287TN · Bluecross Blueshield

Medicaid3710667TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EMILY ELIZABETH JONES AU.D.

Audiologist