Provider Demographics
NPI:1811050230
Name:RICE, TODD M (MD)
Entity type:Individual
Prefix:DR
First Name:TODD
Middle Name:M
Last Name:RICE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7827 CHEROKEE SPRINGS WAY
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-9042
Mailing Address - Country:US
Mailing Address - Phone:865-560-0298
Mailing Address - Fax:865-560-0298
Practice Address - Street 1:1112 GOODLETTE RD N
Practice Address - Street 2:SUITE 204
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5497
Practice Address - Country:US
Practice Address - Phone:239-262-4519
Practice Address - Fax:239-262-5672
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN24191174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3077544Medicaid
TNE84150Medicare UPIN
TN3077545Medicare ID - Type UnspecifiedMEDICARE