Organization Active NPI

Raymond S. Duffett, MD Inc

  • Orthopaedic Surgery Physician
  • Youngstown, OH
National Provider Identifier
1457673162
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
35047879 Issued in OH
Legal business name
RAYMOND S. DUFFETT, MD INC
Practice address
1335 Belmont Ave
Youngstown, OH 44504-1135
Phone
(330) 747-2700
Fax
(330) 747-2211
NPI assigned
Feb 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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

Authorized official

Name
Ms. Leslie Lynne Corbett
Title
Office Manager
Phone
(330) 747-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 35047879 OH Primary

Addresses

Primary practice location

1335 Belmont Ave
Youngstown, OH 44504-1135

Mailing address

1335 Belmont Ave
Youngstown, OH 44504-1135
Phone (330) 747-2700

Other identifiers 1

IdentifierTypeStateIssuer
0703082MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266796800000",
    "number": "1457673162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041135",
            "telephone_number": "330-747-2700",
            "fax_number": "330-747-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041135",
            "telephone_number": "330-747-2700",
            "fax_number": "330-747-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND S. DUFFETT, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-22",
        "last_updated": "2010-02-22",
        "status": "A",
        "authorized_official_last_name": "CORBETT",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "330-747-2700",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "35047879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0703082",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.