RAYMOND A DIETER III (NPI# 1063405603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063405603 |
| Entity Type | Individual |
| Full Name | RAYMOND A DIETER III |
| Credential | MD |
| Practice Address |
1940 Alcoa Hwy Suite E310 Knoxville TN 37920-2244 |
| Mailing Address |
Po Box 440547 Nashville TN 37244-0547 |
| Practice Telephone | 8653056955 |
| Practice Fax Number | 8656375216 |
| Mailing Telephone | 8656706199 |
| Mailing Fax Number | 8656706188 |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2010-03-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 021978 | TN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477182624 | Raymond Andrew Dieter Iv | Student in an Organized Health Care Education/Training Program | 719 Thompson Ln, One Hundred Oaks South, Nashville, TN 37204-4600 | 2020-04-08 |
| 1285609776 | Raymond Dieter Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464 | 2006-02-20 |
| Street Address |
1940 ALCOA HWY SUITE E310 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37920-2244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205830171 | William Jeremy Mahlow | Specialist | 1940 Alcoa Hwy, Suite E 310, Knoxville, TN 37920-2244 | 2005-06-09 |
| 1558876300 | Carolyn Hodges | Nurse Practitioner | 1940 Alcoa Hwy, Knoxville, TN 37920-2244 | 2017-12-01 |
| 1124552989 | Kari Michelle Self | Nurse Practitioner | 1940 Alcoa Hwy, Ste E310, Knoxville, TN 37920-2244 | 2017-04-18 |
| 1992247530 | Grant Anthony Partin | Nurse Practitioner | 1940 Alcoa Hwy, E260, Knoxville, TN 37920-2244 | 2016-11-14 |
| 1033567813 | Sarah K Roach | Physician Assistant | 1940 Alcoa Hwy, E210, Knoxville, TN 37920-2244 | 2016-06-02 |
| 1053777169 | Knoxville Omnicare Pllc | Family Medicine | 1940 Alcoa Hwy, E40, Knoxville, TN 37920-2244 | 2016-01-05 |
| 1417328543 | John R Carder Md PC | Emergency Medicine | 1940 Alcoa Hwy, E40, Knoxville, TN 37920-2244 | 2015-10-15 |
| 1740664986 | University Health System, Inc | Preventive Medicine | 1940 Alcoa Hwy, Ste E40, Knoxville, TN 37920-2244 | 2015-07-17 |
| 1851771430 | Amanda Ergen | Nurse Practitioner | 1940 Alcoa Hwy, Building E Suite-120, Knoxville, TN 37920-2244 | 2015-06-09 |
| 1801293436 | Jodie Schneitman | Nurse Practitioner | 1940 Alcoa Hwy, Suite E 310, Knoxville, TN 37920-2244 | 2014-11-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033747639 | Paul Connor Shanahan | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, U-109, Knoxville, TN 37920 | 2020-03-30 |
| 1952938904 | Eric Becker | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, U-60, Knoxville, TN 37920 | 2020-03-26 |
| 1174028336 | Taylor Boulware Tapscott | Nurse Practitioner | 3118 Alcoa Highway, Knoxville, TN 37920 | 2018-03-28 |
| 1255860672 | Eric Christopher Riedinger | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Hwy., Box U-11, Knoxville, TN 37920 | 2017-06-08 |
| 1740639277 | Claudia Nieuwoudt | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, Box U-27, Knoxville, Tn 37920, Knoxville, TN 37920 | 2016-06-06 |
| 1841657699 | Frances D Thompson | Physical Therapy Assistant | 717 Lower Pond Way, Knoxville, TN 37920 | 2016-01-25 |
| 1720457989 | Independent Physical Therapy, LLC | Occupational Therapist | 7558 Mountain Grove Dr, Knoxville, TN 37920 | 2015-09-17 |
| 1982071189 | Ryan Dulling | Physical Therapist | 4011 Chapman Hwy Ste J, Knoxville, TN 37920 | 2015-08-24 |
| 1154705614 | Kailyn Sorensen | Physical Therapist | 1926 Alcoa Hwy Ste 200, Knoxville, TN 37920 | 2015-07-15 |
| 1093196420 | James Michael Hart II | Family Medicine | 1925 Alcoa Hwy # 56, Knoxville, TN 37920 | 2015-06-11 |
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| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073855888 | Walter Howard Brott | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3701 Maloney Rd, Knoxville, TN 37920-2821 | 2013-03-19 |
| 1962769216 | Robert Edwin Ware | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3548 Captains Way, Knoxville, TN 37922-9420 | 2012-04-11 |
| 1720359862 | Hiroshi Toyohara | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 210 Crestridge Rd, Knoxville, TN 37919-5920 | 2012-01-20 |
| 1679525448 | East Tennessee Cardiovascular Surgery Group, P.c | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9125 Cross Park Drive, Suite 200, Knoxville, TN 37923-4505 | 2006-05-17 |
| 1538148630 | Norbert E. Baumgartner | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9125 Cross Park Dr Ste 200, Knoxville, TN 37923-4563 | 2006-01-17 |
| 1861476038 | Richard Miller Briggs | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10810 Parkside Dr Ste 208, Knoxville, TN 37934-1981 | 2005-12-01 |
| 1710253745 | Barry D. Frame, Md | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 930 E Emerald Ave, 719, Knoxville, TN 37917-4539 | 2012-03-23 |
| 1457585531 | University Health System, Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1940 Alcoa Hwy, Ste E260, Knoxville, TN 37920-2244 | 2009-05-05 |
| 1144498510 | University Health System, Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1940 Alcoa Hwy, E260, Knoxville, TN 37920-2244 | 2008-02-19 |
| 1457535379 | Carlo O. Martinez Torres | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9125 Cross Park Dr, Suite 200, Knoxville, TN 37923-4564 | 2007-12-27 |
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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.