Active NPI
George Stephan Raj, M.D.,
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Bellingham, WA
National Provider Identifier
1316062136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 2004014354
- Practice address
- 12 Bellwether Way
Suite 219
Bellingham, WA 98225-2959 - Phone
- (360) 200-5826
- Fax
- (360) 200-5833
- NPI assigned
- Mar 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 2004014354 | MO | Primary |
Addresses
Primary practice location
12 Bellwether Way
Suite 219
Bellingham, WA 98225-2959
Mailing address
12 Bellwether Way
Suite 219
Bellingham, WA 98225-2959
Phone (360) 200-5826
Other names 1
- George Stephan Raj L
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2004014354 | MO | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317945600000",
"number": "1316062136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 BELLWETHER WAY",
"address_2": "SUITE 219",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982252959",
"telephone_number": "360-200-5826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 BELLWETHER WAY",
"address_2": "SUITE 219",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982252959",
"telephone_number": "360-200-5826",
"fax_number": "360-200-5833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAJ",
"first_name": "GEORGE",
"middle_name": "STEPHAN",
"credential": "M.D.,",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2011-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "MO",
"license": "2004014354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GEORGE",
"last_name": "RAJ L",
"middle_name": "STEPHAN",
"credential": "M.D.,",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.