Individual provider Active NPI

Raymond Roger Little, M.D.

  • Specialist
  • Zanesville, OH
National Provider Identifier
1427077726
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35 059644 Issued in OH
Practice address
2590 Stone Creek Cir
Zanesville, OH 43701-3904
Phone
(740) 607-4511
Fax
(740) 454-5385
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 35 059644 OH Primary

Addresses

Primary practice location

2590 Stone Creek Cir
Zanesville, OH 43701-3904

Mailing address

2590 Stone Creek Cir
Zanesville, OH 43701-3904
Phone (740) 607-4511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20250129001102 OH Order and Referring Only - PathologyPractitioner - Pathology 2961435086

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35 059644OHMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1427077726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2590 STONE CREEK CIR",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437013904",
            "telephone_number": "740-607-4511",
            "fax_number": "740-454-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2590 STONE CREEK CIR",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437013904",
            "telephone_number": "740-607-4511",
            "fax_number": "740-454-5385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTLE",
        "first_name": "RAYMOND",
        "middle_name": "ROGER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35 059644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

Verify at the official NPI Registry.