Provider Demographics
NPI:1972920338
Name:RAPSTINE, EMILY DIANE (MD)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:DIANE
Last Name:RAPSTINE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:EMILY
Other - Middle Name:RAPSTINE
Other - Last Name:BOND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:9125 CROSS PARK DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-4564
Mailing Address - Country:US
Mailing Address - Phone:865-632-5900
Mailing Address - Fax:
Practice Address - Street 1:988 OAK RIDGE TPKE STE 380
Practice Address - Street 2:
Practice Address - City:OAK RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37830-6998
Practice Address - Country:US
Practice Address - Phone:865-481-0183
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-24
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN65193208600000X
KYR3599208600000X, 390200000X
TN66286208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No208600000XAllopathic & Osteopathic PhysiciansSurgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ077253Medicaid