Raymond Arthur Neiswonger, RN, ACNP, BC

Primary specialty

Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X

License

F430228-1 Issued in NY

Practice address

462 Grider Street
RM 741
Buffalo, NY 14215

Phone

(716) 961-6995

Fax

(716) 898-5276

NPI assigned

Feb 23, 2006

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

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.

• Blossom South, LLC

  • Skilled Nursing Facility
  • Rochester, NY
  • NPI 1750444246
  NPD (past)
• Munster Medical Research Foundation, Inc.

  • Community/Retail Pharmacy
  • Munster, IN
  • NPI 1235209826
  NPD (past)

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256083200000",
    "number": "1326013152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6653 MAIN STREET",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "14221",
            "telephone_number": "716-204-4500",
            "fax_number": "716-204-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 GRIDER STREET",
            "address_2": "RM 741",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14215",
            "telephone_number": "716-961-6995",
            "fax_number": "716-898-5276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEISWONGER",
        "first_name": "RAYMOND",
        "middle_name": "ARTHUR",
        "credential": "RN, ACNP, BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2009-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "NY",
            "license": "F430228-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02663761",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• T. Corey Neil
• Barbara Ann Neilson, NP
• Hanna Neimeier
• Kayla Ann Neira, MS ED CCC/SLP
• Mary L Neiswonger
• Miranda Nellis
• Christine Nelson-Tuttle, PNP
• Barbara Jean Nelson, PH.D.
• Carolyn H Nelson, MS, RD, CDN, CDE
• Carrie Nelson

• Critical Care Medicine Nurse Practitioner in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Critical Care Medicine Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; 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.