Individual provider Active NPI

Harvey Lee Raimi, D.O.

  • Obstetrics & Gynecology Physician
  • Waterford, MI
National Provider Identifier
1346548302
Registry record updated Mar 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
R-6205 Issued in MI
Practice address
950 N Cass Lake Rd Ste 112
Waterford, MI 48328-2370
Phone
(248) 683-8050
Fax
(561) 994-1296
NPI assigned
Mar 1, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X R-6205 MI Primary

Addresses

Primary practice location

950 N Cass Lake Rd Ste 112
Waterford, MI 48328-2370

Mailing address

6235 NW 42ND Way
Boca Raton
Boca Raton, FL 33496-4036
Phone (248) 210-1051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R-6205MIMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299715200000",
    "number": "1346548302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6235 NW 42ND WAY",
            "address_2": "BOCA RATON",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334964036",
            "telephone_number": "248-210-1051",
            "fax_number": "561-994-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N CASS LAKE RD STE 112",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483282370",
            "telephone_number": "248-683-8050",
            "fax_number": "561-994-1296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAIMI",
        "first_name": "HARVEY",
        "middle_name": "LEE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-01",
        "last_updated": "2011-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "R-6205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

Verify at the official NPI Registry.