Raymond Joseph Delille Sr., PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA00910 Issued in TX

Practice address

213 Persimmon
Sanderson, TX 79848-0244

Phone

(432) 345-2508

Fax

(432) 345-2426

NPI assigned

Nov 27, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Pecos County Memorial Hospital District

  • Family Medicine Physician
  • Fort Stockton, TX
  • NPI 1386400232
  Medicare reassignment NPD
• Pecos County Memorial Hospital

  • Family Medicine Physician
  • Fort Stockton, TX
  • NPI 1457307175
  Medicare reassignment
• Pecos County Memorial Hospital

  dba Sanderson Rural Heatlh Center

  • Rural Health Clinic/Center
  • Sanderson, TX
  • NPI 1518216902
  NPD
• Pecos County Memorial Hospital

  • Critical Access Hospital
  • Fort Stockton, TX
  • NPI 1760598692
  NPD

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073689626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 127",
            "city": "SANDERSON",
            "state": "TX",
            "postal_code": "798480127",
            "telephone_number": "432-345-6734",
            "fax_number": "432-345-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 PERSIMMON",
            "city": "SANDERSON",
            "state": "TX",
            "postal_code": "798480244",
            "telephone_number": "432-345-2508",
            "fax_number": "432-345-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELILLE",
        "first_name": "RAYMOND",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA00910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BCBS",
            "identifier": "8N4928",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIV NPI",
            "identifier": "16166308",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janice Lynn Patluk, FNP, GNP, RN
• Pecos County Memorial Hospital (Sanderson Rural Heatlh Center)
• Pecos County Memorial Hospital District (Sanderson Rural Health Center)
• Terrell County

• Physician Assistant in Sanderson, TX
• Providers in Sanderson, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.