James William Raniolo, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9191A Issued in WY

Practice address

1490 Gregory LN
Jackson, WY 83001-9021

Phone

(307) 200-4850

Fax

(888) 282-0008

NPI assigned

Jun 4, 2006

Last updated

Jul 7, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Previously, effective Oct 3, 2016 through Oct 3, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jr Medical Group LLC

  dba Late Hours Urgent Care Center

  • Family Nurse Practitioner
  • Riverview, FL
  • NPI 1447029632
  NPD (past)
• Vital Well-Being Center, Inc.

  • Specialist
  • Palm Harbor, FL
  • NPI 1295975563
  NPD (past)

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404691200000",
    "number": "1255379749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 930",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830010930",
            "telephone_number": "307-200-4850",
            "fax_number": "888-282-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 GREGORY LN",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830019021",
            "telephone_number": "307-200-4850",
            "fax_number": "888-282-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANIOLO",
        "first_name": "JAMES",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2014-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS9086",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "9191A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000621500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph W. Raboin, CRNA
• Aimee M Racette, CRNA
• Rathna Raju-Swami, MD
• William John Ramsay III, M.D.
• Christopher Andrew Ramsey, M.D.
• Rebecca Cloetta DDS PC
• Jennifer Reid, PLCSW
• Ann Rendall
• Cheryl Ann Renzulli, MA, LAT
• Barron Justin Reyes, M.D.

• Family Medicine Physician in Jackson, WY
• Providers in Jackson, WY by specialty
• Family Medicine Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.