Patricia L Raymond, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

0101045459 Issued in VA

Practice address

1925 Glenn Mitchell Dr
Ste 102
Virginia Beach, VA 23456-0170

Phone

(757) 464-1644

Fax

(757) 363-1071

NPI assigned

Jul 11, 2005

Reactivated

Mar 29, 2006

Last updated

Mar 1, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Patricia L Raymond, M.D., PLLC

  dba Simply Screening

  • Specialist
  • Chesapeake, VA
  • NPI 1891965422
  NPD (past) Authorized official

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456790400000",
    "number": "1063410413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 INDEPENDENCE BLVD",
            "address_2": "SUITE 110",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234555500",
            "telephone_number": "757-464-1644",
            "fax_number": "757-363-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 GLENN MITCHELL DR",
            "address_2": "STE 102",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234560170",
            "telephone_number": "757-464-1644",
            "fax_number": "757-363-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYMOND",
        "first_name": "PATRICIA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-11",
        "last_updated": "2016-03-01",
        "deactivation_date": "2006-03-15",
        "reactivation_date": "2006-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0101045459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063410413",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI/OPTIMUM CHOICE/MDIPA",
            "identifier": "515366",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010050715",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "105928",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "0-0675060",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "15938",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3575971",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emmy Louise Ray, LCSW
• James Michael Ray, CFO
• Ubha Rayamajhi, M.D.
• Maria Rayburn
• Erin Kyleen Raymond, MSOTR/L
• Michael J Rayno, DPM
• Zia Razzaq, DSC,CMT,LLCC,NCTMB
• RB Family Enterprises (RBF Medical Transportation Services)
• RDH Counseling and Consulting, LLC
• Re Active Therapy and Wellness PLLC

• Gastroenterology Physician in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Gastroenterology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; 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.