Holly Elizabeth Raimondi, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

10000619A Issued in IN

Practice address

1400 S Lake Park Ave
Ste 200
Hobart, IN 46342-6791

Phone

(219) 947-6122

Fax

(219) 947-6045

NPI assigned

Jun 15, 2005

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18505/brand/1/csg/1/fhir/r4

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

• Meridian Surgical Group, Inc

  • Surgery Physician
  • Carmel, IN
  • NPI 1376655613
  NPD (past)
• St Mary Medical Center Inc

  • General Acute Care Hospital
  • Hobart, IN
  • NPI 1962504175
  NPD (past)
• St. Mary Medical Center Inc

  • Family Medicine Physician
  • Merrillville, IN
  • NPI 1598839730
  NPD (past)

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308182400000",
    "number": "1093710105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S LAKE PARK AVE",
            "address_2": "STE 200",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426791",
            "telephone_number": "219-947-6122",
            "fax_number": "219-947-6045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S LAKE PARK AVE",
            "address_2": "STE 200",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426791",
            "telephone_number": "219-947-6122",
            "fax_number": "219-947-6045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAIMONDI",
        "first_name": "HOLLY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-15",
        "last_updated": "2011-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IN",
            "license": "10000619A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlee N Prusynski, FNP-C
• Pulmonary Specialists of Northwest Indiana, PC
• Lynn Pupek, HAD
• Victoria Anne Pyke, FNP-C
• Javairia Quraishi, MD
• Satya N Ramiah, D.O.
• Shashikant R. Rane, MD
• Nikola Ratic, DO
• Robert Brian Ray, D.D.S.
• Ladonna Rayner

• Surgical Physician Assistant in Hobart, IN
• Providers in Hobart, IN by specialty
• Surgical Physician Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; 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.