Raymond Bernard Mikus, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS 10840 Issued in FL

Practice address

2404 US Highway 19
Holiday, FL 34691-3943

Phone

(727) 945-0100

Fax

(727) 945-0133

NPI assigned

Dec 10, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Raymond Bernard Mikus Professional name

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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 and National Provider Directory roles.

• Doctors Urgent Care LLC

  • Urgent Care Clinic/Center
  • Palm Harbor, FL
  • NPI 1417498122
  NPD (past)

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305158400000",
    "number": "1457596074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 US HIGHWAY 19",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "34695",
            "telephone_number": "727-945-0100",
            "fax_number": "727-945-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 US HIGHWAY 19",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "346913943",
            "telephone_number": "727-945-0100",
            "fax_number": "727-945-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKUS",
        "first_name": "RAYMOND",
        "middle_name": "BERNARD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-10",
        "last_updated": "2011-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS 10840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAYMOND",
            "last_name": "MIKUS",
            "middle_name": "BERNARD",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Valerie Mavrides
• Tamara Anne McCord
• Cornelius Joseph McGeehan, DC
• Diana Patricia McGrath, PT
• Lori E McLean, LMT
• Mile Stretch LLC
• Amanda Miller, DPT
• Ericka D Mills-Bowen
• Maleri Mills
• MMG Pharma LLC Cross Pharmacy

• Family Medicine Physician in Holiday, FL
• Providers in Holiday, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.