MEDICARE: TAMARA DEE RICE MD

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	2015-00130	NC
2	207L00000X	Anesthesiology Physician	2002008193	MO
3	207LC0200X	Critical Care Medicine (Anesthesiology) Physician	2002008193	MO
4	207LA0401X	Addiction Medicine (Anesthesiology) Physician	2002008193	MO
5	207LP2900X	Pain Medicine (Anesthesiology) Physician	2002008193	MO

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1598733412
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMARA DEE RICE MD

Provider Business Mailing Address
First Line	:	2430 EMERALD PL STE 201
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27834-5743
Country	:	US
Telephone Number	:	252-752-2140
Fax Number	:

Provider Business Practice Location Address
First Line	:	2430 EMERALD PL STE 201
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27834-5743
Country	:	US
Telephone Number	:	252-752-2140
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2006
Last Update Date	:	06/22/2026