David B Reath, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

MD17083 Issued in TN

Practice address

109 S Northshore Dr
Ste. 101
Knoxville, TN 37919-4939

Phone

(865) 450-9253

Fax

(865) 450-9949

NPI assigned

Jan 25, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689720690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 S NORTHSHORE DR",
            "address_2": "STE. 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194939",
            "telephone_number": "865-450-9253",
            "fax_number": "865-450-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 S NORTHSHORE DR",
            "address_2": "STE. 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194939",
            "telephone_number": "865-450-9253",
            "fax_number": "865-450-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REATH",
        "first_name": "DAVID",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "TN",
            "license": "MD17083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip Matthew Reagan, CRNA
• Samantha H Reagan, M.ED.
• Susan Reagan, CRNA
• Real Talk LLC
• Real Talk Therapist, LLC
• Diane Michelle Reber, APRN FNP-C
• Recovery Healthcare Partners LLC
• Recovery Strategies LLC
• Savannah Rector
• Jacob Tanner Redden, PHARMD

• Plastic Surgery Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Plastic Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.