Glenn Raymond, PA-C

Primary specialty

Personal Emergency Response AttendantTaxonomy code 146D00000X

License

PA-400 Issued in ME

Practice address

163 Van Buren Rd
Caribou, ME 04736-3567

Phone

(207) 498-3111

Fax

(207) 498-3126

NPI assigned

Oct 11, 2006

Last updated

Jul 8, 2007By 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

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• City of Caribou

  dba Cary Medical Center

  • General Acute Care Hospital
  • Caribou, ME
  • NPI 1780615492
  Medicare reassignment
• Pines Health Services

  dba Women and Childrens Center

  • Obstetrics & Gynecology Physician
  • Caribou, ME
  • NPI 1528383262
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346338738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 VAN BUREN RD",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047363567",
            "telephone_number": "207-498-3111",
            "fax_number": "207-498-3126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 VAN BUREN RD",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047363567",
            "telephone_number": "207-498-3111",
            "fax_number": "207-498-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYMOND",
        "first_name": "GLENN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "ME",
            "license": "PA-400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael L Powell
• Professional Home Nursing, Inc
• Emmanuel Salvador Punelas, PT,CSCS
• Danielle Quinones
• Kathleen Ramey, OTR/L
• Marla A. Raymond, MSW-MHRT/C
• Andrea L Reid, LMSW-CC
• Adam Neal Richardson, OT
• Rite Aid of Maine Inc (Rite Aid Pharmacy 04130)
• Robert Page

• Personal Emergency Response Attendant in Caribou, ME
• Providers in Caribou, ME by specialty
• Personal Emergency Response Attendant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.