John R Raymond Sr., MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

61052 Issued in WI

Practice address

8701 Watertown Plank Road
Office of the President
Milwaukee, WI 53226-0509

Phone

(414) 955-8225

Fax

(414) 955-6560

NPI assigned

Aug 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573776000000",
    "number": "1043328099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8701 WATERTOWN PLANK ROAD",
            "address_2": "OFFICE OF THE PRESIDENT",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532260509",
            "telephone_number": "414-955-8225",
            "fax_number": "414-955-6560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 WATERTOWN PLANK ROAD",
            "address_2": "OFFICE OF THE PRESIDENT",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532260509",
            "telephone_number": "414-955-8225",
            "fax_number": "414-955-6560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYMOND",
        "first_name": "JOHN",
        "middle_name": "R",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2019-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "SC",
            "license": "18867",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WI",
            "license": "61052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188674",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043328099",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lalitha Rayan, MD
• Rawad Rayes, MD
• Raymond W. Moy MD SC
• Raymond Zastrow MD SC
• Amanda Raymond
• Mary Kathryn Raymond, LPN
• Yonatan Raymond, RN
• Mary F Raynor, NP
• Crystal Ellaine Rayon, M.D.
• Tasleem Raza

• Nephrology Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Nephrology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; 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.