EDWIN J RAO (NPI# 1912909763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912909763 |
| Entity Type | Individual |
| Full Name | EDWIN J RAO |
| Credential | MD |
| Practice Address |
979 E. Third Street Suite #c-735 Chattanooga TN 37403 |
| Mailing Address |
975 E. Third Street Attn: Provider Enrollment Chattanooga TN 37403-2147 |
| Practice Telephone | 4237789101 |
| Practice Fax Number | 4237789190 |
| Mailing Telephone | 4237785630 |
| Mailing Fax Number | 4237783146 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2016-02-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
52906 | TN | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
52906 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | RAILROAD MEDICARE | 290007077 | 01 |
| Street Address |
979 E. THIRD STREET SUITE #C-735 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235523234 | Ernest Brandt | Nurse Practitioner | 979 E. Third Street, Suite C-520, Chattanooga, TN 37403-2147 | 2015-03-27 |
| 1598191025 | Donna Reed Duff | Nurse Practitioner | 979 E. Third Street, Suite # B-601, Chattanooga, TN 37403 | 2013-09-16 |
| 1215223722 | Niraj Niraula | Internal Medicine | 979 E. Third Street, Suite #c-735, Chattanooga, TN 37403-2141 | 2011-06-22 |
| 1417247453 | Megan E. Skorupa Stevens | Psychiatry & Neurology | 979 E. Third Street, Suite # C-830, Chattanooga, TN 37403 | 2011-04-11 |
| 1811212392 | Gena L Thompson | Physician Assistant | 979 E. Third Street, Suite #c-825, Chattanooga, TN 37403 | 2010-03-29 |
| 1275796575 | Amanda May Tedstrom | Internal Medicine | 979 E. Third Street, Suite #c-620, Chattanooga, TN 37403 | 2008-07-07 |
| 1780845032 | Harish Manyam | Internal Medicine | 979 E. Third Street, Suite # C-520, Chattanooga, TN 37403 | 2008-06-19 |
| 1629248505 | Shanee D. Owens | Registered Nurse | 979 E. Third Street, Suite# B.601, Chattanooga, TN 37403 | 2008-03-06 |
| 1427248756 | Dharmendrakumar A. Patel | Internal Medicine | 979 E. Third Street, Suite #c-520, Chattanooga, TN 37403 | 2007-08-01 |
| 1851513931 | Jesse F Doty | Orthopaedic Surgery | 979 E. Third Street, Suite C-225, Chattanooga, TN 37403 | 2007-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033771332 | Jaimie Mills | Specialist/Technologist | 103 Metropolitan Building, Chattanooga, TN 37403 | 2019-07-08 |
| 1972092849 | Joshua Dale Gebhardt | Marriage & Family Therapist | 1024 East M L King Blvd, Chattanooga, TN 37403 | 2018-05-07 |
| 1528580750 | Klifford Hawkins | Physical Therapist | 1100 E 3rd St Ste G103, Chattanooga, TN 37403 | 2017-07-10 |
| 1861921470 | Jonathan Everett Burden | Student in an Organized Health Care Education/Training Program | 960 E 3rd St Ste 104, Chattanooga, TN 37403 | 2017-06-07 |
| 1992167092 | Majel Victoria Purvis Miles | Student in an Organized Health Care Education/Training Program | 979 E 3rd St Ste 401, Chattanooga, TN 37403 | 2016-03-28 |
| 1972942902 | Danielle Nessly | Nurse Practitioner | 730 East 11th Street, Chattanooga, TN 37403 | 2013-06-24 |
| 1023453271 | Nathan Claydon | Internal Medicine | 960 East 3rd St, Suite 104, Chattanooga, TN 37403 | 2013-05-01 |
| 1336482603 | Veronica Patterson Zachry | Student in an Organized Health Care Education/Training Program | 975 E. 3rd Street, Chattanooga, TN 37403 | 2013-04-04 |
| 1639420417 | Ctr. for Individual & Family Effectiveness | Community/Behavioral Health | 310 E. 8th St., Ste. C, Chattanooga, TN 37403 | 2012-09-20 |
| 1063773521 | Shelley L Murphy | Emergency Medicine | 1018 Blackford Street, Chattanooga, TN 37403 | 2012-05-31 |
| Find all providers in zip 37403 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922022672 | Sibaji Shome | Internal Medicine | 979 E 3rd St Ste A-240, A-240, Chattanooga, TN 37403-2136 | 2006-07-26 |
| 1558391326 | Susan Gary Taylor | Internal Medicine | 2205 Mccallie Ave Fl 4, Chattanooga, TN 37404 | 2006-07-04 |
| 1891772208 | David Hongrong Guan | Internal Medicine | 1814 Mccallie Ave, Chattanooga, TN 37404-3025 | 2005-12-28 |
| 1275003295 | Informe Healthcare Tn, LLC | Internal Medicine | 709 Walnut St, Chattanooga, TN 37402-1916 | 2018-12-03 |
| 1093151367 | Anne Mainardi | Internal Medicine | 979 E 3rd St Ste C735, Chattanooga, TN 37403-3310 | 2013-05-14 |
| 1902148042 | Jesse Layden Tucker | Internal Medicine | 725 Glenwood Dr Ste E500, Chattanooga, TN 37404 | 2013-03-26 |
| 1255695011 | Sumit M Patel | Internal Medicine | 725 Glenwood Dr Ste E500, Chattanooga, TN 37404 | 2012-06-26 |
| 1609142041 | Jeremy Adam Greenberg | Internal Medicine | 979 E 3rd St Ste C735, Chattanooga, TN 37403 | 2012-03-29 |
| 1588980999 | Jody Lynn Haddock | Internal Medicine | 2525 Desales Avenue, Chi Memorial Hospital-chattanooga, Chattanooga, TN 37404 | 2010-04-09 |
| 1801037700 | Md Total Care, LLC | Internal Medicine | 1301 Mccallie Ave, Suite 200, Chattanooga, TN 37404-2934 | 2009-03-23 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37403 |
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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.