Active NPI
Gary a. Raymond DPM PC
Doing business as Advanced Regional Center for Ankle and Foot Care
- Podiatrist
- Everett, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- GARY A. RAYMOND DPM PC
- Doing business as
- Advanced Regional Center for Ankle and Foot Care
Advanced Regional Center for Orthopedics and Podiatry - Practice address
- 195 Memorial Dr Ste 6
Everett, PA 15537-7056 - Phone
- (814) 310-9052
- Fax
- (814) 942-7635
- NPI assigned
- Jul 9, 2019
- Last updated
- Jun 20, 2023
- Organization subpart
- Yes
- Parent organization
- GARY A. RAYMOND, DPM, PC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gary A Raymond, DPM, PC
- Title
- President
- Phone
- (814) 943-3668
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | NU | ||
| Orthopaedic Hand Surgery Physician | 207XS0106X | NU | ||
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | NU | ||
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | NU | ||
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | NU | ||
| Orthopaedic Trauma Physician | 207XX0801X | NU | ||
| Podiatrist | 213E00000X | NU | Primary | |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | NU | ||
| Radiology Podiatrist | 213ER0200X | NU | ||
| Sports Medicine Podiatrist | 213ES0000X | NU | ||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | NU | ||
| Foot Surgery Podiatrist | 213ES0131X | NU | ||
| Pedorthist | 224L00000X | NU | ||
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | NU |
Addresses
Primary practice location
195 Memorial Dr Ste 6
Everett, PA 15537-7056
Mailing address
711 Logan Blvd
Altoona, PA 16602-4165
Phone (814) 943-3668
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0017818520008 | Medicaid | PA |
Other names 2
- Advanced Regional Center for Ankle and Foot Care
- Advanced Regional Center for Orthopedics and Podiatry
National Provider Directory
National Provider Directory- Part of
- Adv Reg Ctr for Ankle
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Foot Surgery Podiatrist
- Altoona, PA
- NPI 1942204367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562630400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687219200000",
"number": "1093367203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 LOGAN BLVD",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166024165",
"telephone_number": "814-943-3668",
"fax_number": "814-942-7635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "195 MEMORIAL DR STE 6",
"city": "EVERETT",
"state": "PA",
"postal_code": "155377056",
"telephone_number": "814-310-9052",
"fax_number": "814-942-7635"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARY A. RAYMOND DPM PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GARY A. RAYMOND, DPM, PC.",
"enumeration_date": "2019-07-09",
"last_updated": "2023-06-20",
"certification_date": "2023-06-20",
"status": "A",
"authorized_official_last_name": "RAYMOND",
"authorized_official_first_name": "GARY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "814-943-3668",
"authorized_official_credential": "DPM, PC"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "213ER0200X",
"taxonomy_group": "",
"desc": "Podiatrist, Radiology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "213ES0000X",
"taxonomy_group": "",
"desc": "Podiatrist, Sports Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "224L00000X",
"taxonomy_group": "",
"desc": "Pedorthist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0017818520008",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Advanced Regional Center for Ankle and Foot Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Advanced Regional Center for Ankle and Foot Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Advanced Regional Center for Orthopedics and Podiatry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Everett, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.