RAYMOND B DEMOVILLE (NPI# 1699770016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699770016 |
| Entity Type | Individual |
| Full Name | RAYMOND B DEMOVILLE |
| Credential | MD |
| Practice Address |
107 Glen Oak Blvd Ste 101 Hendersonville TN 37075-3000 |
| Mailing Address |
590 Hartsville Pike Suite 1 Gallatin TN 37066-2466 |
| Practice Telephone | 6158222177 |
| Practice Fax Number | 6158220300 |
| Mailing Telephone | 6154520048 |
| Mailing Fax Number | 6154520616 |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2012-07-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | MD0000034182 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BCBS | 3150351 | 01 |
| Street Address |
107 GLEN OAK BLVD STE 101 |
| City | HENDERSONVILLE |
| State | TN |
| Zip Code | 37075-3000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457782781 | Misti A Martinez | Nurse Practitioner | 107 Glen Oak Blvd, Suite 202, Hendersonville, TN 37075 | 2013-12-12 |
| 1326479478 | Gastroenterology and Hepatology Associates | Nurse Practitioner | 107 Glen Oak Blvd, 202, Hendersonville, TN 37075-3000 | 2013-11-27 |
| 1720241318 | Kristin A Gaffney | Internal Medicine | 107 Glen Oak Blvd, Suite 202, Hendersonville, TN 37075 | 2008-07-03 |
| 1316111727 | Tamara Parrish | Nurse Practitioner | 107 Glen Oak Blvd, Suite 200, Hendersonville, TN 37075-3000 | 2008-04-16 |
| 1437339884 | Theron J. Rice IIi | Physician Assistant | 107 Glen Oak Blvd, Suite 200, Hendersonville, TN 37075-3000 | 2007-11-13 |
| 1164625828 | Mid State Ent, LLC | Specialist | 107 Glen Oak Blvd, Suite 101, Hendersonville, TN 37075 | 2007-06-08 |
| 1194841452 | David Scott Morris | Urology | 107 Glen Oak Blvd, Hendersonville, TN 37075-3000 | 2007-03-21 |
| 1548390503 | Gastroenterology & Hepatology Associates Pllc | Specialist | 107 Glen Oak Blvd, Suite 202, Hendersonville, TN 37075 | 2007-03-07 |
| 1518976315 | Margaret F Ikard | Internal Medicine | 107 Glen Oak Blvd, Suite 200, Hendersonville, TN 37075-3000 | 2006-08-08 |
| 1083665962 | Scott Alan Hande | Internal Medicine | 107 Glen Oak Blvd, Suite 202, Hendersonville, TN 37075 | 2006-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667425 | Results-ast Jv, LLC | Physical Therapist | 326 New Shackle Island Rd, Suite 300, Hendersonville, TN 37075 | 2020-10-21 |
| 1871126524 | Jessica Elise Williams | Nurse Practitioner | 100 Indian Lake Blvd, Hendersonville, TN 37075 | 2020-02-20 |
| 1003379108 | Infusion Express of Tennessee, PC | Clinic/Center | 1006 Glenbrook Way, Ste 130, Hendersonville, TN 37075 | 2019-04-08 |
| 1417414335 | Red Owl Industries, LLC | Chiropractor | 16 Executive Park Dr # 100, Hendersonville, TN 37075 | 2019-02-27 |
| 1992203368 | Cassie Berman | Occupational Therapist | 209 Shivel Drive, Hendersonville, TN 37075 | 2018-01-31 |
| 1407379373 | Hendersonville Smiles Dentistry, PC | Dentist | 1002 Glenbrook Way, Suite 200, Hendersonville, TN 37075 | 2017-07-21 |
| 1215483466 | Ryan Escue | Registered Nurse | 4221 Harding Pike, Nashville, TN 37075 | 2016-08-28 |
| 1003279589 | Grant Anderson | Physician Assistant | 211 Indian Lake Bloulevard, Hendersonville, TN 37075 | 2016-04-01 |
| 1073974192 | Jennifer Kramer | Nurse Practitioner | 103 Hazel Path Ct, Suite 7, Hendersonville, TN 37075 | 2016-03-16 |
| 1144680315 | Catherine Alexandria Wellendorf | Specialist/Technologist | 3126 Long Hollow Pike, Hendersonville, TN 37075 | 2016-03-02 |
| Find all providers in zip 37075 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730144197 | Hendersonville Ear, Nose & Throat, P.a. | Otolaryngology | 512 Park Hill Ct, Hendersonville, NC 28739-4265 | 2006-04-19 |
| 1902800378 | Rodney James Hawk | Otolaryngology | 80 Doctors Dr, Suite 2, Hendersonville, NC 28792-7290 | 2005-06-13 |
| 1376518290 | Michael Dee Stalford | Otolaryngology | 80 Doctors Dr, Suite 2, Hendersonville, NC 28792-7289 | 2006-02-22 |
| 1487649414 | Shannon E Hunter | Otolaryngology | 80 Doctors Dr, Ste 2, Hendersonville, NC 28792-7290 | 2005-09-15 |
| 1841297884 | Michael Charles Neuenschwander | Otolaryngology | 80 Doctors Dr, Suite 2, Hendersonville, NC 28792-7290 | 2005-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932622396 | Ear, Nose & Throat Specialists of Nashville At Goodlettsville | Otolaryngology | 3050 Business Park Cir Ste 101, Goodlettsville, TN 37072-3588 | 2017-07-18 |
| 1386011468 | Wiliam Gray Davis | Otolaryngology | 5709 Hearthstone Ln, Brentwood, TN 37027-4313 | 2015-08-25 |
| 1598059545 | Daniel Sacks | Otolaryngology | 4601 Carothers Pkwy Ste 215, Franklin, TN 37067-6003 | 2011-06-07 |
| 1821231572 | John Heaphy | Otolaryngology | Vumc Dept of Oto Med Ctr East South Tower, 1215 21st Avenue South, Suite 7209, Nashville, TN 37232-8605 | 2009-04-10 |
| 1023262466 | Alexander Gelbard | Otolaryngology | Vanderbilt Voice Ctr, 1215 21rst Ave. South. Suite 7302, Nashville, TN 37232-8783 | 2008-11-12 |
| 1699938886 | Jonathan P Hayes | Otolaryngology | 9430 Park West Blvd Ste 330, Knoxville, TN 37923-4203 | 2008-07-08 |
| 1780869735 | Denneny Ent Consultants, Pllc | Otolaryngology | 101 E Blount Ave Ste G10, Knoxville, TN 37920-1637 | 2008-01-08 |
| 1154505428 | Clyde Columbus Mathison II | Otolaryngology | 144 Concord Rd Dept Of, Farragut, TN 37934-2901 | 2007-12-21 |
| 1326242975 | David Allen Gilpin | Otolaryngology | 2301 21st Ave S Ste 300, Nashville, TN 37212-4946 | 2007-06-14 |
| 1407057276 | Mid-south Ear, Nose, and Throat, P.C. | Otolaryngology | 7600 Wolf River Blvd Ste 220, Germantown, TN 38138-1788 | 2007-05-30 |
| Find all providers with the same taxonomy | ||||
| City | HENDERSONVILLE |
| Zip Code | 37075 |
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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.