Organization Active NPI

Michael Raborn MD PA

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Jonesboro, AR
National Provider Identifier
1275805749
Registry record updated Jan 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
Legal business name
MICHAEL RABORN MD PA
Practice address
2239 S Caraway Rd
Suite N
Jonesboro, AR 72401-6204
Phone
(870) 275-6436
NPI assigned
Jan 31, 2012
Last updated
Jan 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2019

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

Authorized official

Name
Dr. Michael Joseph Raborn, M.D.NPI 1225095094
Title
Owner
Phone
(870) 275-6436

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208G00000X Primary

Addresses

Primary practice location

2239 S Caraway Rd
Suite N
Jonesboro, AR 72401-6204

Mailing address

2239 S Caraway Rd
Suite N
Jonesboro, AR 72401-6204
Phone (870) 275-6436

National Provider Directory

National Provider Directory

Locations

2239 S Caraway Rd
Ste N
Jonesboro, AR 72401
Phone (870) 275-6436

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1327968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547424000000",
    "number": "1275805749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2239 S CARAWAY RD",
            "address_2": "SUITE N",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016204",
            "telephone_number": "870-275-6436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2239 S CARAWAY RD",
            "address_2": "SUITE N",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016204",
            "telephone_number": "870-275-6436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL RABORN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-31",
        "last_updated": "2019-01-14",
        "status": "A",
        "authorized_official_last_name": "RABORN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-275-6436",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; 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.