Raul A Rodriguez Jr., MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD2006-0531 Issued in NM

Practice address

617 Benton St
Omak, WA 98841-9636

Phone

(509) 422-5685

NPI assigned

Sep 25, 2006

Last updated

Oct 25, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Raul A Rodriguez Jr. Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319500800000",
    "number": "1316047574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 BENTON ST",
            "city": "OMAK",
            "state": "WA",
            "postal_code": "988419636",
            "telephone_number": "509-422-5685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 BENTON ST",
            "city": "OMAK",
            "state": "WA",
            "postal_code": "988419636",
            "telephone_number": "509-422-5685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "RAUL",
        "middle_name": "A",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2011-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2006-0531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAUL",
            "last_name": "RODRIGUEZ",
            "middle_name": "A",
            "suffix": "JR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alison Riegel, PA-C
• Carla Riley
• Deanne L Ristau, RMA
• Richard E Roberts, OD
• Juan M Rodriguez, SUDPT
• Grace Rowan
• Heidi Joy Sam, MASSAGE PRACTITIONER
• Miguel A Sanchez, CDP
• Joshua G Schkrohowsky, MD
• Katelyn Ann Schumacher, MD, MPH

• Family Medicine Physician in Omak, WA
• Providers in Omak, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.