Active NPI
Aeyal Raz, M.D.,PH.D.
- Anesthesiology Physician
- Madison, WI
National Provider Identifier
1033478136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 17763-875
- Practice address
- 1300 University Ave
Room 4605
Madison, WI 53706-1510 - Phone
- (608) 263-6662
- NPI assigned
- May 9, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 17763-875 | WI | Primary |
Addresses
Primary practice location
1300 University Ave
Room 4605
Madison, WI 53706-1510
Mailing address
207 Eagle HTS
Apt. K
Madison, WI 53705-1762
Phone (608) 515-0530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17763-875 | WI | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336521600000",
"number": "1033478136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 EAGLE HTS",
"address_2": "APT. K",
"city": "MADISON",
"state": "WI",
"postal_code": "537051762",
"telephone_number": "608-515-0530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 UNIVERSITY AVE",
"address_2": "ROOM 4605",
"city": "MADISON",
"state": "WI",
"postal_code": "537061510",
"telephone_number": "608-263-6662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAZ",
"first_name": "AEYAL",
"name_prefix": "Dr.",
"credential": "M.D.,PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-09",
"last_updated": "2012-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WI",
"license": "17763-875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.