Individual provider Active NPI

Carla Joa Raymo

  • VA Clinic/Center
  • Canal Winchester, OH
National Provider Identifier
1407264666
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
Practice address
5609 Baldoyle Way
Canal Winchester, OH 43110-7946
Phone
(614) 625-5662
NPI assigned
Jul 31, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
VA Clinic/Center 261QV0200X Primary

Addresses

Primary practice location

5609 Baldoyle Way
Canal Winchester, OH 43110-7946

Mailing address

5609 Baldoyle Way
Canal Winchester, OH 43110-7946
Phone (614) 625-5662

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406764800000",
    "number": "1407264666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5609 BALDOYLE WAY",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431107946",
            "telephone_number": "614-625-5662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5609 BALDOYLE WAY",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431107946",
            "telephone_number": "614-625-5662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYMO",
        "first_name": "CARLA",
        "middle_name": "JOA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-31",
        "last_updated": "2014-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canal Winchester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; 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.