Michael Raborn, M.D.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

R-3452 Issued in AR

Practice address

311 E Matthews Ave
Jonesboro, AR 72401-3125

Phone

(870) 935-4150

Fax

(870) 934-5264

NPI assigned

Apr 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Michael Raborn MD PA

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Jonesboro, AR
  • NPI 1275805749
  NPD Authorized official
• Vein Specialists of Arkansas

  • Ambulatory Surgical Clinic/Center
  • Jonesboro, AR
  • NPI 1528478849
  NPD (past) Authorized official
• Northeast Arkansas Clinic Charitable Foundation, Inc.

  • Clinical Medical Laboratory
  • Jonesboro, AR
  • NPI 1801127030
  NPD (past)
• Northeast Arkansas Clinic, PA

  • Multi-Specialty Clinic/Center
  • Jonesboro, AR
  • NPI 1376517177
  NPD (past)
• Ozarks Medical Center

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188172800000",
    "number": "1225095094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 E MATTHEWS AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013125",
            "telephone_number": "870-935-4150",
            "fax_number": "870-934-5264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 E MATTHEWS AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013125",
            "telephone_number": "870-935-4150",
            "fax_number": "870-934-5264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABORN",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2007-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "AR",
            "license": "R-3452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111565001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew A. Quick, MD
• Matthew Scott Quillman
• Maricella Quinonez
• R. Edward Cooper Jr MD, PA
• R. Edward Cooper Jr., M.D., P.a.
• Olivia J Rachel
• Kirsten Marie Raffanelli
• Muhammad Rafique, M.B.B.S.
• Darrell G. Ragland, M.D.
• Aniqa Raheem, M.D.

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.