Gary a Raymond DPM PC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

GARY A RAYMOND DPM PC

Practice address

2590 Park Center Blvd
Suite 200
State College, PA 16801

Phone

(814) 231-1566

Fax

(814) 942-7635

NPI assigned

Mar 2, 2009

Organization subpart

Yes

Parent organization

GARY A. RAYMOND DPM PCAs reported in NPPES

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

Authorized official

Name

Gary A Raymond, DPM

Title

President

Phone

(814) 943-3668

Specialties & licenses 13

Addresses

Other names 2

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

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Gary a Raymond, DPM PC

  • Podiatrist
  • Altoona, PA
  • NPI 1568400521

  4587553607

  Same PAC ID
• Gary a Raymond, DPM, PC

  • Podiatrist
  • Ebensburg, PA
  • NPI 1922248954

  4587553607

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Gary a Raymond DPM PC4 organizations share this tax ID, including this one

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.

• Gary a Raymond DPM PC

  • Podiatrist
  • Altoona, PA
  • NPI 1376811570
  NPD tax ID
• Gary a Raymond DPM PC

  • Podiatrist
  • Tyrone, PA
  • NPI 1386884310
  NPD tax ID
• Gary a Raymond DPM PC

  • Orthopaedic Surgery Physician
  • Hastings, PA
  • NPI 1699524256
  NPD tax ID

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

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1407096571",
    "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": "2590 PARK CENTER BLVD",
            "address_2": "SUITE 200",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "16801",
            "telephone_number": "814-231-1566",
            "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": "2009-03-02",
        "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_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": "213ER0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Radiology",
            "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": [],
    "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"
        }
    ]
}

• Andrew Joseph Gambone, M.D.
• Marian Garcia, M.D.
• Emily K Garno
• Sarah Garris
• Jessica H Garrity, M.ED, CRC, NCC
• Mary Ann Gastiger, MSW, LCSW
• Katherine J. Gates-Moore, LCSW
• Joshua Logan Gates, PA-C
• Kurt M Gehlert, PH.D.
• Renee B Gehrig, DO

• Podiatrist in State College, PA
• Providers in State College, PA by specialty
• Podiatrist in Pennsylvania

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.