Thomas Raulerson MD and Farm Inc

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

THOMAS RAULERSON MD AND FARM INC

Practice address

926 NW 13TH St
Gainesville, FL 32601-4140

Phone

(352) 379-1049

NPI assigned

Feb 27, 2017

Organization subpart

No

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

Authorized official

Name

Thomas Raulerson, M.DNPI 1568486611

Title

Owner

Phone

(352) 283-4449

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Thomas Raulerson MD and Farm2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Thomas Raulerson MD and Farm Inc

  • Addiction Medicine (Family Medicine) Physician
  • Gainesville, FL
  • NPI 1578274866
  NPD tax ID

Locations

Practitioners 2

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

• Thomas John Raulerson, MD

  • Family Medicine Physician
  • Gainesville, FL
  • NPI 1568486611
  Medicare reassignment NPD Authorized official
• Deborah Raulerson, APRN

  • Family Nurse Practitioner
  • Gainesville, FL
  • NPI 1477111854
  NPD (past)

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1356881213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 NW 13TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326014140",
            "telephone_number": "352-575-0766",
            "fax_number": "352-505-4046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 NW 13TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326014140",
            "telephone_number": "352-379-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS RAULERSON MD AND FARM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-27",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A",
        "authorized_official_last_name": "RAULERSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-283-4449",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Maria Reyes Bouza Thober, PA
• Eric Thober, APRN
• Eric Kirk Thoburn, MD
• Thom L Tyler, MD, PA
• Alberto Thomas Hernandez
• Thomas Raulerson MD and Farm Inc
• Shakia Thomas-Grimmage
• Wilma Thomas-Simmons, APRN
• Aaron Lane Thomas, PTA
• Akira Thomas

• Addiction Medicine (Family Medicine) Physician in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Addiction Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.