Individual provider Active NPI

William Alan Raich, MD

  • Ophthalmology Physician
  • Philadelphia, PA
National Provider Identifier
1447509807
Registry record updated Aug 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD010206E Issued in PA
Practice address
210 Locust St
Apt. 19Ab
Philadelphia, PA 19106-3934
Phone
(215) 923-2191
NPI assigned
Aug 31, 2012
Last updated
Aug 31, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD010206E PA Primary

Addresses

Primary practice location

210 Locust St
Apt. 19Ab
Philadelphia, PA 19106-3934

Mailing address

210 Locust St
Apt. 19Ab
Philadelphia, PA 19106-3934
Phone (215) 923-2191

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD010206EPAMDOphthalmology Physician

NPI Registry JSON

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346371200000",
    "number": "1447509807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 LOCUST ST",
            "address_2": "APT. 19AB",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191063934",
            "telephone_number": "215-923-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 LOCUST ST",
            "address_2": "APT. 19AB",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191063934",
            "telephone_number": "215-923-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAICH",
        "first_name": "WILLIAM",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-31",
        "last_updated": "2012-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD010206E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; 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.