Individual provider Active NPI

Juliana A Raymaker, MD

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1295707255
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME100786 Issued in FL
Practice address
1000 Universal Studios PLZ BLDG 3
Orlando, FL 32819-7601
Phone
(407) 355-0803
Fax
(407) 355-0432
NPI assigned
Feb 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME100786 FL Primary

Addresses

Primary practice location

1000 Universal Studios PLZ BLDG 3
Orlando, FL 32819-7601

Mailing address

PO Box 3266
St Augustine, FL 32085-3266
Phone (904) 819-4206

Other practice location 1

1000 Universal Studios Plz Bldg 3
Orlando, FL 32819-7601
Phone (407) 355-0803

Other identifiers 1

IdentifierTypeStateIssuer
009428400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080801000108 FL Practitioner - Family Practice 7810893906 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME100786FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincents Ambulatory Care Inc CurrentSince Nov 1, 2016 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Nov 1, 2016 Accepting new patients
Phoebe Putney Memorial Hospital Family Medicine PastSince Jan 1, 1990 Accepting new patients
Phoebe Putney Memorial Hospital Inc PastSince Jan 1, 1990 Accepting new patients
Phoebe Putney Memorial Hospital Family Medicine PastSince Jan 1, 1990 Accepting new patients

Locations

3690 Saint Johns Bluff Rd S
Jacksonville, FL 32224
Phone (904) 202-6683

Organizations & group practices 5

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": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1295707255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3266",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320853266",
            "telephone_number": "904-819-4206",
            "fax_number": "904-819-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 UNIVERSAL STUDIOS PLZ BLDG 3",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197601",
            "telephone_number": "407-355-0803",
            "fax_number": "407-355-0432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Universal Studios Plz Bldg 3",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328197601",
            "country_code": "US",
            "telephone_number": "407-355-0803",
            "fax_number": "407-355-0432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAYMAKER",
        "first_name": "JULIANA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-03",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME100786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009428400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.