DR. FREDRIC M RADOFF (NPI# 1255419388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255419388 |
| Entity Type | Individual |
| Full Name | DR. FREDRIC M RADOFF |
| Credential | MD |
| Practice Address |
266 Joule St Alcoa TN 37701-2422 |
| Mailing Address |
103 W Broadway Ave Maryville TN 37801-4703 |
| Practice Telephone | 8659843864 |
| Practice Fax Number | 8653804095 |
| Mailing Telephone | 8652731752 |
| Mailing Fax Number | 8652731755 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2017-05-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
19787 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3045402 | 05 |
| Street Address |
266 JOULE ST |
| City | ALCOA |
| State | TN |
| Zip Code | 37701-2422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871590943 | James Bradley Ray | Surgery | 266 Joule St, Alcoa, TN 37701-2422 | 2005-07-05 |
| 1831745371 | Julia Renee Zimmerman | Nurse Practitioner | 266 Joule St, Alcoa, TN 37701-2422 | 2019-08-12 |
| 1275190449 | Mark A Reiff | Physician Assistant | 266 Joule St, Alcoa, TN 37701-2422 | 2019-05-23 |
| 1487114955 | Caroline H Lutz | Registered Nurse | 266 Joule St, Alcoa, TN 37701-2422 | 2019-03-21 |
| 1427533488 | Jacob West | Physician Assistant | 266 Joule St, Alcoa, TN 37701-2422 | 2018-09-26 |
| 1740763184 | Sara Rowe | Nurse Practitioner | 266 Joule St, Alcoa, TN 37701-2422 | 2018-09-12 |
| 1568954329 | Emma Rose Niethammer | Physician Assistant | 266 Joule St, Alcoa, TN 37701-2422 | 2018-06-06 |
| 1922596261 | Victoria Sissom | Physician Assistant | 266 Joule St, Alcoa, TN 37701-2422 | 2018-04-23 |
| 1154818672 | Katherine Whaley | Physician Assistant | 266 Joule St, Alcoa, TN 37701 | 2018-04-19 |
| 1518482850 | Daniel Hill Dominique | Nurse Practitioner | 266 Joule St, Alcoa, TN 37701-2422 | 2017-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598070807 | Tennessee Vein Center, Pllc | Clinic/Center | 203 Corporate Place, Alcoa, TN 37701 | 2010-08-11 |
| 1790099638 | Bill Charles Barker | Pharmacist | 225 N. Hall Road, Walgreens, Alcoa, TN 37701 | 2010-08-03 |
| 1235365453 | Marsh Chiropractic & Wellness Center, LLC | Chiropractor | 1080 Hunters Crossing, Alcoa, TN 37701 | 2009-06-02 |
| 1457485187 | Romeo San Diego Gomez | Physical Therapist | 101 Gill Street, Alcoa, TN 37701 | 2007-03-15 |
| 1811039266 | Khaled Othman Abumayaleh | Optometrist | 1030 Hunters Crossing Lane, Alcoa, TN 37701 | 2007-02-13 |
| 1861558777 | Paula Kay Wolfe | Technician/Technologist | 237 N Calderwood St, Alcoa, TN 37701 | 2006-12-28 |
| 1194893883 | K Darrel Clagough | Dentist | 310 Sanderson Street, Alcoa, TN 37701 | 2006-12-01 |
| 1225106008 | David C Finch | Physical Therapist | 1107 N Hall Rd Ste 200, Alcoa, TN 37701 | 2006-12-01 |
| 1366517070 | Gabriel C Edaugal | Physical Therapist | 101 Gill St, Alcoa, TN 37701 | 2006-11-21 |
| 1386617462 | Alcoa Senior Center | Clinic/Center | 2445 Calderwood St., Suite C2, Alcoa, TN 37701 | 2006-02-09 |
| Find all providers in zip 37701 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154403426 | Darel A Butler | Psychiatry & Neurology | 266 Joule St, Alcoa, TN 37701-2422 | 2006-10-19 |
| 1710951728 | Karen A Mullins | Psychiatry & Neurology | 266 Joule St, Alcoa, TN 37701-2422 | 2006-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306304530 | West Tn Neurology Clinic Pllc | Psychiatry & Neurology | 6570 Stage Rd Ste 202, Bartlett, TN 38134-2840 | 2019-03-06 |
| 1356873814 | Neurolocums Lc | Psychiatry & Neurology | 915 Hampstead Ln, Murfreesboro, TN 37129-1354 | 2017-04-03 |
| 1407302169 | Comprehensive Neurology Center, Pllc | Psychiatry & Neurology | 5000 Crossings Cir Ste 101, Mt Juliet, TN 37122 | 2016-08-31 |
| 1861873846 | Rashi Krishnan | Psychiatry & Neurology | 1265 Union Avenue Dept of Neurology, Memphis, TN 38104 | 2015-06-15 |
| 1154717262 | Kayla Dawn Bowden | Psychiatry & Neurology | 8000 Centerview Pkwy Ste 305, Cordova, TN 38018-4225 | 2015-04-15 |
| 1164841326 | Beth Anne Cavanaugh | Psychiatry & Neurology | 848 Adams Ave Ste 400l, Memphis, TN 38103-2816 | 2014-04-15 |
| 1255759288 | Lauren Emily Mccollum | Psychiatry & Neurology | 1932 Alcoa Hwy Ste 150, Knoxville, TN 37920-1532 | 2014-04-07 |
| 1881037240 | Adam Nagy | Psychiatry & Neurology | 3930 The Vanderbilt Clinic, 1301 Medical Center Drive, Nashville, TN 37232-5400 | 2013-04-16 |
| 1538424072 | East Tn Neurology LLC | Psychiatry & Neurology | 2253 Chambliss Ave. Nw, Suite 405, Cleveland, TN 37311-3861 | 2012-07-11 |
| 1629332143 | Sabrina Ahmed | Psychiatry & Neurology | 1800 Medical Center Pkwy Ste 410, Murfreesboro, TN 37129-3182 | 2012-06-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.