Mid-South Ear, Nose, and Throat, P.C.
NPI 1689780066ActiveOrganization· Otolaryngology· Germantown, TN
Otolaryngology in Germantown, Tennessee, registered in NPPES in August 2006. The authorized official on file is Bruce L. Fetterman, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1689780066 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 21, 2006 |
| Last updated in NPPES | Jul 24, 2025 |
| Certified by provider | Jul 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Otolaryngology Primary | 207Y00000X | — | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AR); Part B Supplier - Clinic/Group Practice (MS); Part B Supplier - Clinic/Group Practice (TN) |
|---|
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