Individual provider Active NPI

Tiffany Powell Raynor, MD

  • Pediatric Otolaryngology Physician
  • Houston, TX
National Provider Identifier
1396812749
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Otolaryngology PhysicianTaxonomy code 207YP0228X
License
OH57010911 Issued in OH
Practice address
6550 Fannin Street
Suite 2001
Houston, TX 77033-2725
Phone
(713) 796-2001
Fax
(713) 796-2349
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Otolaryngology Physician 207YP0228X OH57010911 OH Primary

Addresses

Primary practice location

6550 Fannin Street
Suite 2001
Houston, TX 77033-2725

Mailing address

6550 Fannin Street
Suite 2001
Houston, TX 77033-2725
Phone (713) 796-2001

Other names 1

  • Tiffany Raynor Colquhoun Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071128000618 TX Practitioner - OtolaryngologyPractitioner - Pediatric Medicine 2668568635 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
OH57010911OHMDPediatric Otolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Children's Physician Group CurrentSince Mar 20, 2013 Accepting new patients

Locations

11777 FM 1960 Rd W
Houston, TX 77065
Phone (832) 828-3501

6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764

6550 Fannin St
Ste 2001
Houston, TX 77030
Phone (713) 796-2001

Interoperability endpoints

  • Direct secure messaging: traynor6194@prddirect.texaschildrens.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396812749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 FANNIN STREET",
            "address_2": "SUITE 2001",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770332725",
            "telephone_number": "713-796-2001",
            "fax_number": "713-796-2349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 FANNIN STREET",
            "address_2": "SUITE 2001",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770332725",
            "telephone_number": "713-796-2001",
            "fax_number": "713-796-2349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYNOR",
        "first_name": "TIFFANY",
        "middle_name": "POWELL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "OH",
            "license": "OH57010911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "COLQUHOUN",
            "middle_name": "RAYNOR",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.