Barry Stevan Raskin, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

D0023394 Issued in MD

Practice address

22321 Flintridge Dr
Brookeville, MD 20833-1238

Phone

(301) 919-2244

Fax

(301) 774-6019

NPI assigned

Apr 13, 2007

Sex

Male

Sole proprietor

Yes

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

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373846400000",
    "number": "1336363803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22321 FLINTRIDGE DR",
            "city": "BROOKEVILLE",
            "state": "MD",
            "postal_code": "208331238",
            "telephone_number": "301-919-2244",
            "fax_number": "301-774-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22321 FLINTRIDGE DR",
            "city": "BROOKEVILLE",
            "state": "MD",
            "postal_code": "208331238",
            "telephone_number": "301-919-2244",
            "fax_number": "301-774-6019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASKIN",
        "first_name": "BARRY",
        "middle_name": "STEVAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2013-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0023394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "301711170",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Oscilowski
• Pepitas Wellness
• Ella Pisner, LCSW-C
• Primary DME
• Colleen Marie Prorok, RN, MSN, IBCLC
• Joann T. Shapiro, P.T.
• George Siarkas
• James Leroy Staiger, M.D.
• Marissa Ann Swamy
• Amanda Marie Tomlinson

• Specialist in Brookeville, MD
• Providers in Brookeville, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.