Active NPI
Gary a Raymond DPM PC
- Podiatrist
- Altoona, PA
National Provider Identifier
1376811570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- GARY A RAYMOND DPM PC
- Practice address
- 711 Logan Blvd
Altoona, PA 16602-4165 - Phone
- (814) 943-3668
- Fax
- (814) 942-7635
- NPI assigned
- Dec 2, 2011
- Organization subpart
- Yes
- Parent organization
- GARY A RAYMOND DPM PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gary A Raymond, DPM
- Title
- President
- Phone
- (814) 943-3668
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | |||
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | |||
| Orthopaedic Hand Surgery Physician | 207XS0106X | |||
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | |||
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | |||
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | |||
| Orthopaedic Trauma Physician | 207XX0801X | |||
| Podiatrist | 213E00000X | Primary | ||
| Primary Podiatric Medicine Podiatrist | 213EP1101X | |||
| Sports Medicine Podiatrist | 213ES0000X | |||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | |||
| Foot Surgery Podiatrist | 213ES0131X |
Addresses
Primary practice location
711 Logan Blvd
Altoona, PA 16602-4165
Mailing address
711 Logan Blvd
Altoona, PA 16602-4165
Phone (814) 943-3668
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0017818520008 | Medicaid | PA |
Other names 2
- Advanced Regional Center for Ankle and Foot Care
- Advanced Regional Center for Orthopedics and Podiatry
National Provider Directory
National Provider Directory- Tax ID family
- Gary a Raymond DPM PC
- Part of
- Gary a Raymond DPM PC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Podiatrist
- Tyrone, PA
- NPI 1386884310
-
- Podiatrist
- State College, PA
- NPI 1407096571
-
- Orthopaedic Surgery Physician
- Hastings, PA
- NPI 1699524256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322784000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687219200000",
"number": "1376811570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 LOGAN BLVD",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166024165",
"telephone_number": "814-943-3668",
"fax_number": "814-942-7635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 LOGAN BLVD",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166024165",
"telephone_number": "814-943-3668",
"fax_number": "814-942-7635"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARY A RAYMOND DPM PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GARY A RAYMOND DPM PC",
"enumeration_date": "2011-12-02",
"last_updated": "2023-06-20",
"certification_date": "2023-06-20",
"status": "A",
"authorized_official_last_name": "RAYMOND",
"authorized_official_first_name": "GARY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "814-943-3668",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XP3100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XS0106X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XS0114X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XX0004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XX0801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": null,
"license": null,
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
},
{
"code": "213EP1101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "213ES0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Sports Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "213ES0131X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0017818520008",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Advanced Regional Center for Ankle and Foot Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Advanced Regional Center for Ankle and Foot Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Advanced Regional Center for Orthopedics and Podiatry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Altoona, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.