Raymond Roberts, DPM, LTD

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

9004 Issued in NV

Legal business name

RAYMOND ROBERTS, DPM, LTD

Practice address

6580 S McCarran Blvd
Ste. D-1
Reno, NV 89509-6112

Phone

(775) 825-2533

Fax

(775) 826-9546

NPI assigned

Feb 25, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Raymond Glenn Roberts, DPMNPI 1942352760

Title

President

Phone

(775) 825-2533

Specialties & licenses 1

Addresses

Other names 1

• Lakeside Family Foot Care Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raymond G Roberts, DPM

  • Foot & Ankle Surgery Podiatrist
  • Reno, NV
  • NPI 1942352760
  Medicare reassignment NPD Authorized official
• Tracey E Giambrone, DPM

  • Foot & Ankle Surgery Podiatrist
  • Reno, NV
  • NPI 1861413445
  NPD (past)

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1295904183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 LAKESIDE DR",
            "address_2": "#243",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094841",
            "telephone_number": "775-825-2533",
            "fax_number": "775-825-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6580 S MCCARRAN BLVD",
            "address_2": "STE. D-1",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096112",
            "telephone_number": "775-825-2533",
            "fax_number": "775-826-9546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND ROBERTS, DPM, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "775-825-2533",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NV",
            "license": "9004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeside Family Foot Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jon W. Ray, M.S.
• Kyle Douglas Ray, ATC
• Myia Ray
• Russell Ray
• Sohini Ray, M.D.
• Shelby Raymondi
• Colin Raynor
• Neomy Rayos
• Shahnaz G Razavi, PHARM.D.
• RDB Physical Therapy PLLC

• Foot & Ankle Surgery Podiatrist in Reno, NV
• Providers in Reno, NV by specialty
• Foot & Ankle Surgery Podiatrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.