Active NPI
Raymond S Michael, MD
- Obstetrics & Gynecology Physician
- Marshall, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 46383
- Practice address
- 300 South Bruce St
Marshall, MN 56258 - Phone
- (507) 532-9631
- Fax
- (507) 532-1176
- NPI assigned
- Feb 27, 2006
- Last updated
- Dec 9, 2020
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 46383 | MN | Primary |
Addresses
Primary practice location
300 South Bruce St
Marshall, MN 56258
Mailing address
300 South Bruce St
Marshall, MN 56258
Phone (507) 532-9631
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 388618200 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5801 Postal Rd
Cleveland, OH 44181-9600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pipestone County Medical Center | Current | Accepting new patients | |
| Rural Health Care, Inc | Current | Accepting new patients | |
| Rural Health Care, Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Pipestone County Medical Center Avera | Current | Accepting new patients | |
| Winona Health Services | Current | Accepting new patients | |
| Florida Woman Care, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Pipestone County Medical Center | Current | Accepting new patients | |
| Avera Marshall | Current | Accepting new patients | |
| Avera Marshall | Current | Accepting new patients | |
| Pipestone County Medical Center | Current | Accepting new patients | |
| Avera Marshall | Current | Accepting new patients | |
| Rural Health Care, Inc | Current | Accepting new patients | |
| Womencare PA | Past | Accepting new patients |
Locations
2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233
1420 Celebration Blvd
Ste 309
Celebration, FL 34747
1160 Cypress Glen Cir
Kissimmee, FL 34741
Phone (407) 518-1993
13 Neptune Rd
Kissimmee, FL 34744
3000 Hunters Creek Blvd
Orlando, FL 32837
Phone (407) 487-2167
5800 S Semoran Blvd
Ste A
Orlando, FL 32822
Phone (407) 270-5925
2078 Winter Springs Blvd
Oviedo, FL 32765
Phone (407) 453-2072
1521 Carlson St
Marshall, MN 56258
Phone (507) 532-1101
300 S Bruce St
Marshall, MN 56258
Phone (507) 532-9631
300 S Bruce St
Ste 100
Marshall, MN 56258
916 4th Ave SW
Pipestone, MN 56164
Phone (507) 825-5811
855 Mankato Ave
Winona, MN 55987
Phone (507) 454-3680
1216 Ryans Rd
Worthington, MN 56187
Phone (507) 372-2921
1216 Ryans Rd
Ste 3
Worthington, MN 56187
Phone (507) 372-6522
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- raymond.michael@avera.sdhealthlink.net
Organizations & group practices 13
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.
-
dba Avera Marshall Regional Medical Center
- Critical Access Hospital
- Marshall, MN
- NPI 1568401016
-
- Critical Access Hospital
- Pipestone, MN
- NPI 1447300587
-
- Critical Access Hospital
- Pipestone, MN
- NPI 1598751240
-
dba Access Health Worthington
- Federally Qualified Health Center (FQHC)
- Worthington, MN
- NPI 1215317375
Obstetrics & Gynecology
-
- General Acute Care Hospital
- Winona, MN
- NPI 1295789352
-
dba Avera Eye Care Marshall
- Durable Medical Equipment & Medical Supplies
- Marshall, MN
- NPI 1669622031
-
dba Pipestone Family Clinic
- Family Medicine Physician
- Pipestone, MN
- NPI 1073576906
-
dba Pipestone County Medical Center Surgical Specialties Avera
- Surgery Physician
- Pipestone, MN
- NPI 1285047498
-
dba Access Health - Windom
- Federally Qualified Health Center (FQHC)
- Windom, MN
- NPI 1174141485
-
dba Access Health Marshall
- Federally Qualified Health Center (FQHC)
- Marshall, MN
- NPI 1740944602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607472000000",
"number": "1417923715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 SOUTH BRUCE ST",
"city": "MARSHALL",
"state": "MN",
"postal_code": "56258",
"telephone_number": "507-532-9631",
"fax_number": "507-532-1176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 SOUTH BRUCE ST",
"city": "MARSHALL",
"state": "MN",
"postal_code": "56258",
"telephone_number": "507-532-9631",
"fax_number": "507-532-1176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHAEL",
"first_name": "RAYMOND",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-27",
"last_updated": "2020-12-09",
"certification_date": "2020-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MN",
"license": "46383",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "388618200",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marshall, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.