Raymond W. Scallen, MD PLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

12424 Issued in MN

Legal business name

RAYMOND W. SCALLEN, MD PLC

Practice address

2545 Chicago Ave.
Suite 500
Minneapolis, MN 55404

Phone

(612) 863-6025

Fax

(612) 863-7790

NPI assigned

Aug 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Raymond W. Scallen, MD

Title

MD/Owner

Phone

(612) 863-6025

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241740800000",
    "number": "1114119302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 EAST BUSH LAKE ROAD",
            "address_2": "SUITE 320",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "55439",
            "telephone_number": "952-831-5773",
            "fax_number": "952-831-7224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 CHICAGO AVE.",
            "address_2": "SUITE 500",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55404",
            "telephone_number": "612-863-6025",
            "fax_number": "612-863-7790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND W. SCALLEN, MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2009-05-08",
        "status": "A",
        "authorized_official_last_name": "SCALLEN",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "612-863-6025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MN",
            "license": "12424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Grant E Raykowski, DDS
• Colleen Raymond
• Nancy C Raymond, MD
• Joselyn Arciaga Raymundo, PHARM D
• Michelle Rayne, MD, PHARMD
• Muzbah Razak

• Specialist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; 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.