Organization Active NPI

Gary a Raymond DPM PC

Doing business as Advanced Regional Center for Ankle and Foot Care

  • Podiatrist
  • Tyrone, PA
National Provider Identifier
1386884310
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
GARY A RAYMOND DPM PC
Doing business as
Advanced Regional Center for Ankle and Foot Care
Practice address
154 Hospital Drive
Suite 4
Tyrone, PA 16686
Phone
(814) 684-0410
Fax
(814) 942-7635
NPI assigned
Mar 4, 2009
Last updated
Sep 26, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
GARY A RAYMOND DPM PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Authorized official

Name
Gary A Raymond, DPMNPI 1942204367
Title
President
Phone
(814) 943-3668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X Primary

Addresses

Primary practice location

154 Hospital Drive
Suite 4
Tyrone, PA 16686

Mailing address

711 Logan Blvd
Altoona, PA 16602-4165
Phone (814) 943-3668

Other names 1

  • Advanced Regional Center for Ankle and Foot Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Adv Reg Ctr for Ankle4 organizations share this tax ID, including this one
Part of
Adv Reg Ctr for Ankle

Other organizations with this tax ID 3

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

Locations

154 Hospital Dr
Ste 4
Tyrone, PA 16686
Phone (814) 643-8750

221 Hospital Dr
Ste 5
Tyrone, PA 16686

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1386884310",
    "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": "154 HOSPITAL DRIVE",
            "address_2": "SUITE 4",
            "city": "TYRONE",
            "state": "PA",
            "postal_code": "16686",
            "telephone_number": "814-684-0410",
            "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": "2009-03-04",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "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_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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"
        }
    ]
}

Other providers in Tyrone, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.