Active NPI
Raymundo Munoz Verzosa, M.D.
- Diagnostic Radiology Physician
- Portage, WI
National Provider Identifier
1386727956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 25754020
- Practice address
- 2315 Hamilton St
Portage, WI 53901-1200 - Phone
- (847) 650-9274
- NPI assigned
- Oct 24, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 25754020 | WI | Primary |
Addresses
Primary practice location
2315 Hamilton St
Portage, WI 53901-1200
Mailing address
2315 Hamilton St
Portage, WI 53901-1200
Phone (847) 650-9274
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25754020 | WI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Down East Community Hospital | Past | Accepting new patients | |
| X-Ray, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Mercy Hospital Grayling | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/6b68bc92-a317-4686-a79a-fbb1b58a509e/
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Medicare Defined Swing Bed Hospital Unit
- Machias, ME
- NPI 1336587542
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
dba Mercy Health Cancer Center
- Hematology & Oncology Physician
- Grayling, MI
- NPI 1427489509
-
- Vascular & Interventional Radiology Physician
- Lima, OH
- NPI 1417970542
Diagnostic Radiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386727956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2315 HAMILTON ST",
"city": "PORTAGE",
"state": "WI",
"postal_code": "539011200",
"telephone_number": "847-650-9274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2315 HAMILTON ST",
"city": "PORTAGE",
"state": "WI",
"postal_code": "539011200",
"telephone_number": "847-650-9274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERZOSA",
"first_name": "RAYMUNDO",
"middle_name": "MUNOZ",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WI",
"license": "25754020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portage, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.