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Dr. John R Reisser, MD

Surgery Physician in Maryville, TN · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104904028

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Registry record

Entity type Individual (Type 1)
Name Dr. John R Reisser
Credential MD
Sex Male
Practice address 250 Bmh Physicians Office Bldg, Maryville, TN, 37804
Phone (865) 980-5244
Fax (865) 980-5245
Enumeration date Nov 1, 2006
Last updated in NPPES Oct 29, 2025

Taxonomy & licenses

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License 17966 (TN) Primary
2086S0129X Vascular Surgery Physician Allopathic & Osteopathic Physicians · License 17966 (TN) Secondary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
3806185 Medicaid TN -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify John Reisser's NPI record?
Cross-check NPI 1104904028 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1104904028 active?
Yes, as of the latest NPPES snapshot, NPI 1104904028 is active (record last updated 2025-10-29).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-10-29.