Colin R Raitiere, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

19619 Issued in KY

Practice address

120 Enterprise Dr
Danville, KY 40422-1870

Phone

(859) 236-2425

Fax

(859) 757-2475

NPI assigned

Jan 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Heritage Palliative Services, Inc.

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Danville, KY
  • NPI 1831546886
  NPD (past)

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280448000000",
    "number": "1114998440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 ENTERPRISE DR",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404221870",
            "telephone_number": "859-236-2425",
            "fax_number": "859-757-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 ENTERPRISE DR",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404221870",
            "telephone_number": "859-236-2425",
            "fax_number": "859-757-2475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAITIERE",
        "first_name": "COLIN",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2010-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "19619",
            "primary": true
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "KY",
            "license": "19619",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "0000000323180",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00156824",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64196199",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Virginia King Purdom, M.D.
• David G Qualls, R.PH.
• Ellen Quinton, LCSW
• Katherine Rahenkamp, APRN
• Christopher Tyler Rainwater
• Barton Logan Ramsey III, MD
• Elizabeth A Ramsey, PA-C
• William R Rankin, MD
• Jill S Ransdell, M.D.
• Pallaki D Ravi, M.D.

• Family Medicine Physician in Danville, KY
• Providers in Danville, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; 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.