Provider Demographics
NPI:1841451119
Name:RAIRIGH, ANASTASIA ZOE (MD)
Entity type:Individual
Prefix:DR
First Name:ANASTASIA
Middle Name:ZOE
Last Name:RAIRIGH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ANASTASIA
Other - Middle Name:ZOE
Other - Last Name:SPENCER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:6809 WESTLAND DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-7434
Mailing Address - Country:US
Mailing Address - Phone:517-331-1955
Mailing Address - Fax:
Practice Address - Street 1:1 BETHEL VALLEY RD BLDG 4500
Practice Address - Street 2:
Practice Address - City:OAK RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37830-8050
Practice Address - Country:US
Practice Address - Phone:865-574-9355
Practice Address - Fax:865-574-9353
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-19
Last Update Date:2020-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN11014429A390200000X
TNMD0000047965207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1527391Medicaid
TN1527391Medicaid