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1982712030 NPI number — ALEXA R RAYMOND M.D.

NPI Number: 1982712030
Health Care Provider/Practitioner: ALEXA R RAYMOND M.D.

Information about “1982712030” NPI (ALEXA R RAYMOND M.D.) exists in 1982712030 in HTML format HTML  |  1982712030 in plain Text format TXT  |  1982712030 in PDF (Portable Document Format) PDF  |  1982712030 in an XML format XML  formats.

NPI Number : 1982712030 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1982712030",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RAYMOND",
    "FirstName": "ALEXA",
    "MiddleName": "R",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "200 MILL RD STE 180",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FAIRHAVEN",
    "MailingAddressStateName": "MA",
    "MailingAddressPostalCode": "02719-5255",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "508-973-2000",
    "MailingAddressFaxNumber": "508-973-2001",
    "FirstLinePracticeLocationAddress": "1 RIVER ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WAKEFIELD",
    "PracticeLocationAddressStateName": "RI",
    "PracticeLocationAddressPostalCode": "02879-3214",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "401-783-0523",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/28/2006",
    "LastUpdateDate": "06/24/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "087538",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "MD15225",
          "LicenseNumberStateCode": "RI",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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