Raymund Leopold Wira, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD00041889 Issued in WA

Practice address

2805 75TH PL SE Apt 47
Mercer Island, WA 98040-2746

Phone

(206) 276-9882

Fax

(206) 276-9882

NPI assigned

Sep 5, 2007

Last updated

Nov 19, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Anesthesia Associates Northwest LLC

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  • NPI 1548281751
  NPD (past)
• Salem Imaging LLC

  • Diagnostic Radiology Physician
  • Salem, OR
  • NPI 1114978418
  NPD (past)
• Salem Radiology Consultants PC

  • Diagnostic Radiology Physician
  • Salem, OR
  • NPI 1649221813
  NPD (past)

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1457545253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 75TH PL SE APT 47",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402746",
            "telephone_number": "206-276-9882",
            "fax_number": "206-276-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 75TH PL SE APT 47",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402746",
            "telephone_number": "206-276-9882",
            "fax_number": "206-276-9882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIRA",
        "first_name": "RAYMUND",
        "middle_name": "LEOPOLD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-05",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD00041889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Lawrence Weber, MD
• David Judson Weed, DDS, MSD
• Carolyn Welch, MS, LAC
• Western Washington Wellness LLC (Island Wellness)
• Alanna Wight
• Yue Wu
• Jennifer Wyatt
• Katherine Aviva Wynn, LSWAIC
• Carrie K York, DDS
• Boyon Yun, ARNP

• Diagnostic Radiology Physician in Mercer Island, WA
• Providers in Mercer Island, WA by specialty
• Diagnostic Radiology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; 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.