Michael Ravegum, CP, BOCPO

Primary specialty

SpecialistTaxonomy code 174400000X

License

OH000262 Issued in PA

Practice address

32 West Rd
Suite 120
Towson, MD 21204-2302

Phone

(717) 515-6000

NPI assigned

Mar 10, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489104000000",
    "number": "1386185346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 EASTWOOD DR",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174023910",
            "telephone_number": "717-515-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 WEST RD",
            "address_2": "SUITE 120",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042302",
            "telephone_number": "717-515-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVEGUM",
        "first_name": "MICHAEL",
        "credential": "CP, BOCPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-10",
        "last_updated": "2017-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "PO000181",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "OH000262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Raspe
• Clara Rasteiro, ATC
• Margreta Mary Helen Rathbauer, CRNP, PH.D.
• Lois J Ratner, MD
• Robin Rausch
• Patricia Rawlins, M.D.
• Meera Ajit Rawtani, M.D.
• Maria Martha Carrillo Raymundo, MD
• Amanda Rea, CRNP
• Barbara Reade, L.C.P.C.

• Specialist in Towson, MD
• Providers in Towson, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.