Individual provider Active NPI

John B Rada III, M.D.

  • Obstetrics & Gynecology Physician
  • Memphis, TN
National Provider Identifier
1326076803
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD11983 Issued in TN
Practice address
6570 Stage Rd
Suite 160
Memphis, TN 38134-2862
Phone
(901) 372-4418
Fax
(901) 383-4854
NPI assigned
Jun 30, 2006
Last updated
Nov 30, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD11983 TN Primary

Addresses

Primary practice location

6570 Stage Rd
Suite 160
Memphis, TN 38134-2862

Mailing address

PO Box 2153
Dept 1868
Birmingham, AL 35287-1868
Phone (901) 372-4418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD11983TNMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memphis Obstetrics and Gynecological Association PC Obstetrics & Gynecology Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16415/brand/2/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322611200000",
    "number": "1326076803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2153",
            "address_2": "DEPT 1868",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352871868",
            "telephone_number": "901-372-4418",
            "fax_number": "901-383-4854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6570 STAGE RD",
            "address_2": "SUITE 160",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381342862",
            "telephone_number": "901-372-4418",
            "fax_number": "901-383-4854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADA",
        "first_name": "JOHN",
        "middle_name": "B",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2011-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "MD11983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.