Marcus E Raichle, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

R4521 Issued in MO

Practice address

517 S Euclid Ave
Ground Floor
Saint Louis, MO 63110-1007

Phone

(314) 362-6907

Fax

(314) 747-3258

NPI assigned

Jul 14, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184630400000",
    "number": "1003832239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8221",
            "address_2": "7425 FORSYTH",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631568221",
            "telephone_number": "314-935-0770",
            "fax_number": "314-935-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 S EUCLID AVE",
            "address_2": "GROUND FLOOR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101007",
            "telephone_number": "314-362-6907",
            "fax_number": "314-747-3258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAICHLE",
        "first_name": "MARCUS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "R4521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ann Raic, LMSW, CRADC
• Rebecca Dianne Raic, MSN, RN, CPNP
• Tanavi Mayur Raicar, OTR/L
• Brandy L Raich, ANP
• Isabelle Raiche, MD
• Michael T Railey, MD
• Rebecca Baum Rainbolt
• Rainbow Lantern Psychological Services
• Monica Anne Raine, PTA
• Rainer Dialysis LLC

• Neurology Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Neurology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.