DR. EGBERT REBEIRO (NPI# 1275583908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275583908 |
| Entity Type | Individual |
| Full Name | DR. EGBERT REBEIRO |
| Credential | M.D. |
| Practice Address |
143 Kennedy Dr Suite B Martin TN 38237-3309 |
| Practice Telephone | 7315873030 |
| Practice Fax Number | 7315873032 |
| Mailing Telephone | 7315873030 |
| Mailing Fax Number | 7315873032 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2020-09-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | E-6965 | AR | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 24570 | KY | Allopathic & Osteopathic Physicians |
| Y | 208600000X | Surgery | E-6965 | AR | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | MD 12630 | TN | Allopathic & Osteopathic Physicians |
| N | 2086X0206X |
Surgery Specialization: Surgical Oncology |
MD-12630 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | TLC | 32638 | 01 |
| TN | 3325272 | 05 | |
| TN | AETNA | 4082293 | 01 |
| TN | CIGNA | 3831541 | 01 |
| TN | BCBS | 4092729 | 01 |
| TN | BHP | 156656 | 01 |
| KY | KY MEDICAID | 64771579 | 01 |
| Street Address |
143 KENNEDY DR SUITE B |
| City | MARTIN |
| State | TN |
| Zip Code | 38237-3309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568465102 | Martin Clinic Corp | Internal Medicine | 143 Kennedy Dr, Suite A, Martin, TN 38237-3309 | 2005-05-27 |
| 1083149629 | Martin Hospital Company LLC | Family Medicine | 143 Kennedy Dr, Martin, TN 38237-3309 | 2017-04-20 |
| 1013295179 | Ashraf Yahya Alqaqa | Internal Medicine | 143 Kennedy Dr, Martin, TN 38237-3309 | 2011-07-23 |
| 1497058606 | Morgan S Stone | Nurse Practitioner | 143 Kennedy Dr, Martin, TN 38237-3309 | 2010-12-09 |
| 1396052932 | Rebecca N Johnson | Advanced Practice Midwife | 143 Kennedy Dr, Martin, TN 38237 | 2010-09-02 |
| 1841411642 | Martin Clinic Corp | Family Medicine | 143 Kennedy Dr, Suite A, Martin, TN 38237-3309 | 2007-05-01 |
| 1497790091 | Surgical Specialists P.c | Surgery | 143 Kennedy Dr, Suite B, Martin, TN 38237-3309 | 2006-06-18 |
| 1801838859 | Dennis Allan Davis | Specialist | 143 Kennedy Dr, Martin, TN 38237-3309 | 2006-06-12 |
| 1215997077 | Keith Thompson | Surgery | 143 Kennedy Dr, Suite A, Martin, TN 38237-3309 | 2006-03-24 |
| 1962480368 | Suresh Thota | Emergency Medicine | 143 Kennedy Dr, Martin, TN 38237-3309 | 2006-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578034385 | Megan Ables | Pharmacist | 2253 Mount Pelia Road, Martin, TN 38237 | 2018-12-06 |
| 1336669159 | Alex Reamy | Specialist/Technologist | 15 Mt. Pelia Road, Martin, TN 38237 | 2017-06-22 |
| 1134655731 | West Tennessee Rehabilitation Hospital, LLC | Medicare Defined Swing Bed Unit | 180 Mount Pelia Road, Martin, TN 38237 | 2017-05-03 |
| 1275901381 | William Zimmerman | Chiropractor | 633 Haygood Rd, Martin, TN 38237 | 2015-09-04 |
| 1588080683 | Cory S Davis | Chiropractor | 116 Masonic Dr, Martin, TN 38237 | 2014-03-13 |
| 1063837946 | Tolliver-scott & Associates | Private Vehicle | 113 Kenny Road, Martin, TN 38237 | 2014-02-28 |
| 1982932711 | Anne M Fritcher | Physician Assistant | 189 Mount Pelia Rd, Martin, TN 38237 | 2009-12-07 |
| 1295062669 | Laura C Plunk | Behavioral Analyst | University Commons, Martin, TN 38237 | 2009-11-05 |
| 1710210497 | Stacie M. Callins | Specialist | 180 Mt. Pelia Rd., Healthsouth Cane Creek Rehab. Hospital, Martin, TN 38237 | 2009-09-11 |
| 1275739930 | Diagnostic Imaging Consultants,ltd | Radiology | 215 Hawks Rd Ste 4, Martin, TN 38237 | 2007-06-21 |
| Find all providers in zip 38237 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386611838 | William Craig Eason | Surgery | 206 S Dodd Dr, Martin, TN 38237-2322 | 2006-03-03 |
| 1295736189 | Peter K Kummant | Surgery | 12579 Main Street, Ste 101, Martin, KY 41649-0910 | 2005-08-02 |
| 1497790091 | Surgical Specialists P.c | Surgery | 143 Kennedy Dr, Suite B, Martin, TN 38237-3309 | 2006-06-18 |
| 1215997077 | Keith Thompson | Surgery | 143 Kennedy Dr, Suite A, Martin, TN 38237-3309 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043855604 | East Tennessee Children's Hospital Association, Inc. | Surgery | 207 E Emory Rd, Powell, TN 37849-4047 | 2019-11-07 |
| 1235695891 | Bone and Joint Institute of Tennessee Surgery Center LLC | Surgery | 3000 Edward Curd Lane, Franklin, TN 37067 | 2019-02-19 |
| 1659835692 | Michael H. Schatzlein | Surgery | 1435 Tyne Blvd, Nashville, TN 37215-4425 | 2019-01-23 |
| 1205309382 | Md Webber PC | Surgery | 10810 Parkside Dr Ste 310, Knoxville, TN 37934-1986 | 2019-01-10 |
| 1699256040 | Amarnath Kadimella | Surgery | 1211 Union Ave Ste 340, Memphis, TN 38104-6663 | 2018-08-23 |
| 1043739287 | Sumner Physician Practices LLC | Surgery | 133 Hospital Dr Ste 700, Carthage, TN 37030-4010 | 2017-09-19 |
| 1790201135 | Surgical Services of East Tennessee PC | Surgery | 300 East Main St., Suite 301, Johnson City, TN 37601 | 2017-08-17 |
| 1275064057 | Surgical Services of America, PC | Surgery | 103 Forrest Crossing Blvd Ste 204, Franklin, TN 37064-5453 | 2017-03-23 |
| 1639618663 | Heather N Fesmire | Surgery | 1030 Mcarthur St., Manchester, TN 37355 | 2017-02-23 |
| 1275905440 | Milligan Surgical Associates, Pllc | Surgery | 1919 Pinnacle Pointe Way, Knoxville, TN 37922 | 2015-10-27 |
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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.