Individual provider Active NPI

Thomas Martin Raymond, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Saginaw, MI
National Provider Identifier
1164405015
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
4301048101 Issued in MI
Practice address
3350 Shattuck Rd
Saginaw, MI 48603-3287
Phone
(989) 791-7916
Fax
(989) 791-7961
NPI assigned
Nov 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 4301048101 MI Primary
Physical Medicine & Rehabilitation Physician 208100000X J2751 TX

Addresses

Primary practice location

3350 Shattuck Rd
Saginaw, MI 48603-3287

Mailing address

1447 N. Harrison
Saginaw, MI 48602-3287
Phone (989) 791-7916

Other identifiers 1

IdentifierTypeStateIssuer
089951001MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address traymond14653@direct.covenanthealthcare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301048101MIMDPhysical Medicine & Rehabilitation Physician
J2751TXMDPhysical Medicine & Rehabilitation Physician

Interoperability endpoints

  • Direct secure messaging: traymond14653@direct.covenanthealthcare.com

NPI Registry JSON

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1164405015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 N. HARRISON",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486023287",
            "telephone_number": "989-791-7916",
            "fax_number": "989-791-7961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 SHATTUCK RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033287",
            "telephone_number": "989-791-7916",
            "fax_number": "989-791-7961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYMOND",
        "first_name": "THOMAS",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "4301048101",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "J2751",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "089951001",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "traymond14653@direct.covenanthealthcare.com",
            "affiliation": "N",
            "address_1": "3350 Shattuck Rd",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486033287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.