Provider Demographics
NPI:1073589057
Name:REHM, JASON PAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:PAUL
Last Name:REHM
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 1:979 E 3RD ST
Mailing Address - Street 2:SUITE C920
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37403-2136
Mailing Address - Country:US
Mailing Address - Phone:423-756-7134
Mailing Address - Fax:423-763-4571
Practice Address - Street 1:979 E 3RD ST
Practice Address - Street 2:SUITE C920
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37403-2136
Practice Address - Country:US
Practice Address - Phone:423-756-7134
Practice Address - Fax:423-763-4571
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN365022086S0105X, 2086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
No2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the Hand
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4082372OtherBCBS INSURANCE
GA52150507002OtherBCBS GEORGIA
TN1114640001OtherPALMETTO DME GROUP #
GAGA0104OtherJOHN DEERE INSURANCE
TN1300169OtherUHC - TENNESSEE
GA1300195OtherUHC - GEORGIA
TNTN0134OtherJOHN DEERE INSURANCE
I08278Medicare UPIN
TNP00171350Medicare PIN
GA40BBBBVMedicare PIN
GAGA0104OtherJOHN DEERE INSURANCE