Dr. John R Reisser
Surgeon Vascular Surgeon
6408 Papermill Dr
Knoxville
, Tennessee 37919-4858
Dr. John R Reisser
Surgeon Vascular Surgeon
6408 Papermill Dr
Knoxville
, Tennessee 37919-4858
(865) 584-7712
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About
Features
Specialties
- Surgeon
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. John R Reisser
- Po Box 52948
- Knoxville, TN
- Zip : 37950-2948
- Fax : (865) 584-7712
- Phone : (865) 305-5675
Second Address
- Dr. John R Reisser
- 6408 Papermill Dr
- Knoxville, TN
- Zip : 37919-4858
- Fax : (865) 212-0163
- Phone : (865) 306-5820
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208200000X | Surgeon | 17966 | TN |
| Y | 208600000X | Surgeon | 17966 | TN |
| N | 2086S0129X | Vascular Surgeon | 17966 | TN |
National Provider Identifier
| NPI | 1104904028 |
|---|---|
| Provider Name | Dr. John R Reisser |
| First Address | Knoxville, TN 37950-2948 |
| Second Address | Knoxville, TN 37919-4858 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/11/2006 |
| Last Update Date | 18/01/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3806185 | (05) | TN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.