Individual provider Active NPI

Mary Elwyn Raum, M.D.

  • Gynecology Physician
  • Ocala, FL
National Provider Identifier
1265413413
Registry record updated Apr 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
ME0036829 Issued in FL
Practice address
40 SW 12TH St
C202
Ocala, FL 34471-6525
Phone
(352) 351-5640
Fax
(352) 351-2967
NPI assigned
Nov 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X ME0036829 FL Primary

Addresses

Primary practice location

40 SW 12TH St
C202
Ocala, FL 34471-6525

Mailing address

40 SW 12TH St Ste C202
Ocala, FL 34471-6521
Phone (352) 351-5640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0036829FLMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gynecology Specialists of Ocala, PLLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271635200000",
    "number": "1265413413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SW 12TH ST STE C202",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344716521",
            "telephone_number": "352-351-5640",
            "fax_number": "352-351-2967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 SW 12TH ST",
            "address_2": "C202",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344716525",
            "telephone_number": "352-351-5640",
            "fax_number": "352-351-2967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUM",
        "first_name": "MARY",
        "middle_name": "ELWYN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-07",
        "last_updated": "2010-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME0036829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.