Active NPI
Alton Clark Raynor, M.D.
- Plastic Surgery Physician
- Stuart, FL
National Provider Identifier
1407853989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- ME31308
- Practice address
- 845 SE Osceola St
Stuart, FL 34994-2431 - Phone
- (772) 286-2202
- Fax
- (772) 286-2389
- NPI assigned
- Jun 30, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | ME31308 | FL | Primary |
Addresses
Primary practice location
845 SE Osceola St
Stuart, FL 34994-2431
Mailing address
845 SE Osceola St
Stuart, FL 34994-2431
Phone (772) 286-2202
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1407853989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "845 SE OSCEOLA ST",
"city": "STUART",
"state": "FL",
"postal_code": "349942431",
"telephone_number": "772-286-2202",
"fax_number": "772-286-2389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "845 SE OSCEOLA ST",
"city": "STUART",
"state": "FL",
"postal_code": "349942431",
"telephone_number": "772-286-2202",
"fax_number": "772-286-2389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAYNOR",
"first_name": "ALTON",
"middle_name": "CLARK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-30",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "FL",
"license": "ME31308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.