Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 41491 | TN |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 200600137 | NC |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | MD423193 | PA |
NPI | 1295700110 |
---|---|
Provider Name | Dr. Gregory Ernest Raab |
First Address | Nashville, TN 37230-6076 |
Second Address | Nashville, TN 37203-2021 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2006 |
Last Update Date | 06/05/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3833904 | (05) | TN |
4156161 | BLUECROSS BLUESHIELD (01) | TN |
6959668 | CIGNA (01) | TN |
7513793 | AETNA (01) | TN |
I55284 | (02) | |
TN01M9 | UNITED HEALTHCARE (01) | TN |