Provider Demographics
NPI:1508817487
Name:LITTLE, FRANK B JR (MD)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:B
Last Name:LITTLE
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 MCFARLAND ST
Mailing Address - Street 2:HEALTH STAR PHYSICIANS
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37814
Mailing Address - Country:US
Mailing Address - Phone:423-587-1987
Mailing Address - Fax:423-587-9252
Practice Address - Street 1:711 MCFARLAND ST
Practice Address - Street 2:HEALTH STAR PHYSICIANS
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37814
Practice Address - Country:US
Practice Address - Phone:423-587-1987
Practice Address - Fax:423-587-9252
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2008-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD16855207Y00000X, 207YS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No207YS0012XAllopathic & Osteopathic PhysiciansOtolaryngologySleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1506041Medicaid
TN3019591Medicaid
A98337Medicare UPIN
TN3019594Medicare PIN
TN3019591Medicaid
TN3707881Medicare PIN