Provider Demographics
NPI:1366552283
Name:RAPPE, MATTHEW ALAN (MD)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:ALAN
Last Name:RAPPE
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 1:260 FORT SANDERS WEST BLVD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-3355
Mailing Address - Country:US
Mailing Address - Phone:865-769-4500
Mailing Address - Fax:865-769-4557
Practice Address - Street 1:260 FORT SANDERS WEST BLVD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-3355
Practice Address - Country:US
Practice Address - Phone:865-769-4500
Practice Address - Fax:865-769-4557
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN41295207X00000X, 207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
3711676OtherMEDICARE PTAN
TNP00428991OtherRAILROAD MEDICARE PTAN
TNTN01M3OtherUNITED HEALTHCARE
TN3000490OtherMEDICAID
4945101OtherCIGNA
3711620OtherMEDICARE PTAN
7212880OtherAETNA
TN4155113OtherBLUECROSS BLUESHIELD
3711675OtherMEDICARE PTAN
3711676OtherMEDICARE PTAN
3711620OtherMEDICARE PTAN
TN3000490OtherMEDICAID
TNTN01M3OtherUNITED HEALTHCARE
3711675OtherMEDICARE PTAN
TN4155113OtherBLUECROSS BLUESHIELD