MR. BRUCE CORWYN RAFFEL (NPI# 1023029469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023029469 |
| Entity Type | Individual |
| Full Name | MR. BRUCE CORWYN RAFFEL |
| Credential | MD |
| Practice Address |
100 Lantana Rd Suite 202 Crossville TN 38555-1903 |
| Practice Telephone | 9314845141 |
| Practice Fax Number | 9314845620 |
| Mailing Telephone | 9314845141 |
| Mailing Fax Number | 9314845620 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2009-12-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
MD17817 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUE CROSS | 4081698 | 01 |
| RAILROAD MEDICARE | P00157378 | 01 | |
| TN | 3029560 | 05 |
| Street Address |
100 LANTANA RD SUITE 202 |
| City | CROSSVILLE |
| State | TN |
| Zip Code | 38555-1903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669412144 | John Smith Professional Pharmacy, Inc. | Pharmacy | 100 Lantana Rd, Ste. 201, Crossville, TN 38555-1903 | 2006-06-07 |
| 1336500834 | Dale Cuva | Nurse Practitioner | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1915 | 2016-03-10 |
| 1174981757 | Christopher Rourke | Physician Assistant | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1915 | 2016-02-10 |
| 1275903585 | Joy Henry | Nurse Practitioner | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1915 | 2015-09-29 |
| 1598134058 | Dawn Oneal | Registered Nurse | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1915 | 2015-09-15 |
| 1083090682 | Brittany Hill Slatton | Nurse Practitioner | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1915 | 2015-08-05 |
| 1972856409 | Sandra J Monday | Physician Assistant | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1915 | 2012-10-22 |
| 1770805327 | Roy Mcclanahan | Pharmacist | 100 Lantana Rd, Crossville, TN 38555-1915 | 2010-02-24 |
| 1366695363 | Andrew Thomas Szaflarski | Obstetrics & Gynecology | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1915 | 2008-11-04 |
| 1770613424 | Vicki S Upchurch | Pharmacist | 100 Lantana Rd, Ste. 201, Crossville, TN 38555-1915 | 2007-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679106306 | North Main Medical, LLC | Family Medicine | 3094 N Mainst, Crossville, TN 38555 | 2020-02-21 |
| 1013566991 | Arehart Enterprises Plc | Anesthesiology | 181 Matherly Street, Crossville, TN 38555 | 2019-09-04 |
| 1194220236 | William Stacy Swafford | Pain Medicine | 181 Matherly St, Crossville, TN 38555 | 2018-03-29 |
| 1871024539 | Adam Hill | Nurse Practitioner | 229 Interstate Dr Ste 103, Crossville, TN 38555 | 2017-03-24 |
| 1568862639 | Happy Hearts Home Care LLC | Home Health | 61 Birchwood Lane, Crossville, TN 38555 | 2014-08-26 |
| 1891072187 | Quality Medical Center, PC | Clinic/Center | 15 Walker Hill Cir, Crossville, TN 38555 | 2011-11-15 |
| 1306137393 | Beatrice L. Durham | Family Medicine | 421 South Main St., Crossville, TN 38555 | 2011-04-25 |
| 1881901353 | Donna Laughter | Licensed Practical Nurse | 1503 South Main St., Crossville, TN 38555 | 2010-09-07 |
| 1922311083 | Carl Thomas Duer Sr. | General Practice | 840 Holiday Dr, Crossville, TN 38555 | 2010-07-19 |
| 1295048445 | Michael Lee Hamby | Pharmacist | 85 Elmore Ave, Crossville, TN 38555 | 2010-07-16 |
| Find all providers in zip 38555 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255829552 | Ahmed Al Bayati | Surgery | Medical Center North 1161 21st Avenue S Suite Ccc-4312, Nashville, TN 37232-0001 | 2018-04-23 |
| 1275039661 | Mekia Truclaye Kauffman | Surgery | 1934 Alcoa Hwy Ste D-362, Knoxville, TN 37920-1524 | 2018-04-04 |
| 1497137574 | Daniel A Hatef Md, Pllc | Surgery | 6200 Highway 100 Ste 101, Nashville, TN 37205-4252 | 2015-06-24 |
| 1336588201 | Nashville Plastic and Reconstructive Surgery, Plc | Surgery | 2201 Murphy Ave Ste 301, Nashville, TN 37203-1956 | 2013-06-24 |
| 1851657597 | Jordi Puente Espel | Surgery | 6215 Humphreys Blvd Ste 103, Memphis, TN 38120-2382 | 2012-04-06 |
| 1730475179 | Sarah Elizabeth Hammond | Surgery | Plastic Surgery Group, 80 Humphreys Blvd #100, Memphis, TN 38120 | 2011-06-23 |
| 1942500319 | Sieveking Plastic Surgery | Surgery | 204 23rd Ave N, Nashville, TN 37203-1502 | 2010-11-01 |
| 1275733081 | Natasha Nicole Luckey | Surgery | 2001 Mallory Ln Ste 205, Franklin, TN 37067-8235 | 2007-07-19 |
| 1841406063 | Robert F Garza | Surgery | 4322 Harding Rd, Suite 326, Nashville, TN 37205-2490 | 2007-05-15 |
| 1558583021 | Stewart Charles Little | Surgery | 2358 Lifestyle Way Ste 212, Chattanooga, TN 37421-2291 | 2007-05-03 |
| Find all providers with the same taxonomy | ||||
| City | CROSSVILLE |
| Zip Code | 38555 |
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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.