Provider Demographics
NPI:1043287592
Name:MADIGAN, ROBERT R (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:R
Last Name:MADIGAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1422 OLD WEISGARBER RD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37909-1293
Mailing Address - Country:US
Mailing Address - Phone:865-558-4400
Mailing Address - Fax:865-558-4471
Practice Address - Street 1:1422 OLD WEISGARBER RD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37909
Practice Address - Country:US
Practice Address - Phone:865-558-4400
Practice Address - Fax:865-558-4471
Is Sole Proprietor?:No
Enumeration Date:2006-03-03
Last Update Date:2014-05-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNMD8898207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN200030084OtherRAILROAD MEDICARE
TN3071367OtherBLUE CROSS BLUE SHIELD
TNTN0126OtherJOHN DEERE HEALTHCARE
TN4458075OtherAETNA
TN3171640Medicaid
TNTN0147OtherJOHN DEERE HEALTHCARE
TN100010164OtherTENNCARE
TN1281433OtherUNITED HEALTH CARE
TNTN0147OtherJOHN DEERE HEALTHCARE
TN3071367OtherBLUE CROSS BLUE SHIELD
TNTN0126OtherJOHN DEERE HEALTHCARE