Richard Lawrence Levine, MD – Urology Physician

Key facts

NPI: 1376589499
Entity type: Individual (NPI type 1)
Primary specialty: Urology Physician 208800000X
License: 41293 (TN)
Practice address: 980 Highway 28
Suite 201
Jasper, TN 37347-3695
Phone: (423) 942-2000
Fax: (423) 942-2023
NPI assigned: Jun 20, 2006
Sex: Male
Sole proprietor: No

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 and National Provider Directory roles.

Garden District Podiatry LLC Foot & Ankle Surgery Podiatrist · New Orleans, LA · NPI 1497829428

NPD (past)

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
41293	TN	MD	Pharmacist
17433 020	WI	MD	Urology Physician

Practice roles

Organization	Specialty	Status	New patients
Garden District Podiatry LLC		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Urology Physician	208800000X	03092R	LA
Urology Physician	208800000X	17433 020	WI
Urology Physician	208800000X	41293	TN	Yes

Addresses

Primary practice location

980 Highway 28
Suite 201
Jasper, TN 37347-3695

Mailing address

1115 Healing Springs Rd
Chattanooga, TN 37419-1043
Phone (561) 601-6339

Other providers in Jasper, TN

All providers in Jasper, TN · Urology Physician in Tennessee

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.