MEDICARE: SUSAN G. RAY-LAMOND MD

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	72019	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	20-3044097	OTHER	MA	CONSOLIDATED
2	201867	OTHER	MA	HARVARD PILGRIM
3	623828	OTHER	MA	TUFTS
4	2118277007	OTHER	MA	CIGNA
5	3307299	OTHER	MA	AETNA
6	20-3044097	OTHER	MA	GREAT-WEST
7	20-3044097	OTHER	MA	NORTH AMERICAN PREFERRED
8	J19081	OTHER	MA	BCBSMA
9	24676	OTHER	MA	HEALTH NEW ENGLAND
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	000000008089	OTHER	MA	BMC
12	20-3044097	OTHER	MA	NORTHEAST HEALTHCARE ALLI
13	20-3044097	OTHER	MD	PLAN VISTA
14	20-3044097	OTHER	MA	PRIVATE HEALTHCARE SYSTEM
15	20-3044097	OTHER	MA	NORTHEAST HEALTH DIRECT
16	20-3044097	OTHER	MA	UNICARE/GIC
17	720191	OTHER	MA	CONNECTICARE

General Provider Information

NPI Number	:	1982677860
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN G. RAY-LAMOND MD

Provider Business Mailing Address
First Line	:	179 NORTHAMPTON ST
Second Line	:	#A
City	:	EASTHAMPTON
State	:	MA
Zip	:	01027-1057
Country	:	US
Telephone Number	:	413-529-0600
Fax Number	:	413-529-1919

Provider Business Practice Location Address
First Line	:	179 NORTHAMPTON ST
Second Line	:	#A
City	:	EASTHAMPTON
State	:	MA
Zip	:	01027-1057
Country	:	US
Telephone Number	:	413-529-0600
Fax Number	:	413-529-1919

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

Provider Enumeration Date	:	02/10/2006
Last Update Date	:	01/29/2013

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