Organization Active NPI

Gary a. Raymond DPM PC

Doing business as Advanced Regional Center for Ankle and Foot Care

  • Podiatrist
  • Everett, PA
National Provider Identifier
1093367203
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
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, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
GARY A. RAYMOND, DPM, PC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Authorized official

Name
Gary A Raymond, DPM, PCNPI 1942204367
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0017818520008MedicaidPA

Other names 2

  • Advanced Regional Center for Ankle and Foot Care Doing business as
  • Advanced Regional Center for Orthopedics and Podiatry Doing business as

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.

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.

Verify at the official NPI Registry.