Active NPI
Stephen D Raines
- Foot Surgery Podiatrist
- Union City, TN
National Provider Identifier
1144393604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- DPM0000000217
- Legal business name
- STEPHEN D RAINES
- Practice address
- 1415 E Reelfoot Ave
Union City, TN 38261-5812 - Phone
- (731) 885-0220
- Fax
- (731) 885-0216
- NPI assigned
- Nov 15, 2006
- Last updated
- Oct 24, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stephen D Raines, D.P.M.
- Title
- Owner
- Phone
- (731) 885-0220
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | DPM0000000217 | TN | Primary |
Addresses
Primary practice location
1415 E Reelfoot Ave
Union City, TN 38261-5812
Mailing address
1415 E Reelfoot Ave
Union City, TN 38261-5812
Phone (731) 885-0220
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962618488 | Other | TN | DME NPI |
| 3717524 | Medicaid | TN | |
| 7100025780 | Medicaid | KY | |
| 1548228620 | Other | TN | NPI |
| 1568496172 | Other | TN | NPI |
| 3354276 | Medicaid | TN | |
| 3350895 | Medicaid | TN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224806400000",
"number": "1144393604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 E REELFOOT AVE",
"city": "UNION CITY",
"state": "TN",
"postal_code": "382615812",
"telephone_number": "731-885-0220",
"fax_number": "731-885-0216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 E REELFOOT AVE",
"city": "UNION CITY",
"state": "TN",
"postal_code": "382615812",
"telephone_number": "731-885-0220",
"fax_number": "731-885-0216"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPHEN D RAINES",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-15",
"last_updated": "2008-10-24",
"status": "A",
"authorized_official_last_name": "RAINES",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "731-885-0220",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "TN",
"license": "DPM0000000217",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DME NPI",
"identifier": "1962618488",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3717524",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100025780",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1548228620",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1568496172",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3354276",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3350895",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Union City, TN
- Travis Dale Shumate, DDS
- Nickolas J Simpson, PA-C
- Southern Pain and Regenerative Medicine PC
- Deborah Sue St Clair, MD
- State of Tennessee (Obion County Health Department)
- Stephen D Raines, (Stephen D Raines DPM)
- Steven R Beachum (Family Chiropractic Center)
- Courtney Stewart
- William Kirk Stone, M.D.
- Collin Stricklin, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.