Raulerson GYN LLC

Primary specialty

Obstetrics PhysicianTaxonomy code 207VX0000X

Legal business name

RAULERSON GYN LLC

Practice address

1713 Highway 441 North
Suite F
Okeechobee, FL 34972

Phone

(863) 763-8000

Fax

(863) 763-8212

NPI assigned

Jan 23, 2008

Organization subpart

No

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

Authorized official

Name

Dr. James Bradfield

Title

Authorize Official

Phone

(863) 763-8000

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Networks

• HealthSun Health Plans Network

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Xiaorong Dai, MD

  • Obstetrics & Gynecology Physician
  • West Palm Beach, FL
  • NPI 1407901028
  Medicare reassignment Care Compare group NPD
• Steven Pliskow Sr., MD

  • Obstetrics & Gynecology Physician
  • West Palm Beach, FL
  • NPI 1659418614
  Medicare reassignment Care Compare group NPD
• Ariana Sabet, DO

  • Obstetrics & Gynecology Physician
  • Loxahatchee, FL
  • NPI 1811561012
  Medicare reassignment Care Compare group NPD
• Sara Shanahan, CNM

  • Advanced Practice Midwife
  • Fort Myers, FL
  • NPI 1871001370
  Medicare reassignment Care Compare group NPD
• Matthew Raymond Shandy, MD

  • Obstetrics & Gynecology Physician
  • Loxahatchee, FL
  • NPI 1902484660
  Medicare reassignment Care Compare group NPD
• Ronald T Ackerman Sr., MD

  • Gynecology Physician
  • West Palm Beach, FL
  • NPI 1942356621
  Medicare reassignment Care Compare group
• Anita Veerabhadrappa-Meiner, PA-C

  • Physician Assistant
  • Loxahatchee, FL
  • NPI 1922205384
  Medicare reassignment Care Compare group
• Kimberly Ann Heroux, MD

  • Obstetrics & Gynecology Physician
  • Jupiter, FL
  • NPI 1124026497
  NPD (past)
• Philip Moyer, M.D.

  • Surgery Physician
  • Okeechobee, FL
  • NPI 1457396814
  NPD (past)
• Christina Pena, M.D.

  • Obstetrics & Gynecology Physician
  • Miami, FL
  • NPI 1982938759
  NPD (past)
• Remberto Santos

  • Obstetrics & Gynecology Physician
  • Aventura, FL
  • NPI 1396075057
  NPD (past)
• Silvia Marie Villegas Van Der Linde, MD

  • Obstetrics & Gynecology Physician
  • Brandon, FL
  • NPI 1891990917
  NPD (past)

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241568000000",
    "number": "1356528210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "THREE MARYLAND",
            "address_2": "SUITE 250",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "37027",
            "telephone_number": "615-372-5024",
            "fax_number": "866-899-5924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 HIGHWAY 441 NORTH",
            "address_2": "SUITE F",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "34972",
            "telephone_number": "863-763-8000",
            "fax_number": "863-763-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAULERSON GYN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2009-05-06",
        "status": "A",
        "authorized_official_last_name": "BRADFIELD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "AUTHORIZE OFFICIAL",
        "authorized_official_telephone_number": "863-763-8000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000640400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Rowland Queen, APRN
• Rachel Toney
• Donald Jack Raley, PT
• Ramesh Kumar M.D. P.a.
• Raulerson General Surgery Group LLC
• Raulerson Primary Care LLC
• Angela Raulerson, OTR/L
• Horacio Reinoso, M.D.
• Vivian Reyes Carmenate, APRN
• Justin Alan Rhodes, COTA/L

• Obstetrics Physician in Okeechobee, FL
• Providers in Okeechobee, FL by specialty
• Obstetrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.