North River Family Health Center PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NORTH RIVER FAMILY HEALTH CENTER PA

Practice address

606 4TH Ave W
Palmetto, FL 34221-5226

Phone

(941) 722-7785

Fax

(941) 729-5267

NPI assigned

Jul 12, 2005

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Raymond L Raitz, M.D.NPI 1558368423

Title

President

Phone

(941) 722-7785

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Raymond L Raitz, M.D.

  • Family Medicine Physician
  • Palmetto, FL
  • NPI 1558368423
  NPD (past) Authorized official
• James A Briles, M.D.

  • Family Medicine Physician
  • Palmetto, FL
  • NPI 1194722983
  NPD (past)
• David J Krull, M.D.

  • Family Medicine Physician
  • Palmetto, FL
  • NPI 1265430953
  NPD (past)

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1497753776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 4TH AVE W",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342215226",
            "telephone_number": "941-722-7785",
            "fax_number": "941-729-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 4TH AVE W",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342215226",
            "telephone_number": "941-722-7785",
            "fax_number": "941-729-5267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH RIVER FAMILY HEALTH CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RAITZ",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-722-7785",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "052613400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "77066",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "68130",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Nicasio, DNP, APRN, FNP-BC
• Nicholas P Constantine, D.C., P.a.
• Brandy Noack, APRN
• Stephanie L. Norden, COTA/L
• North River Body Therapies
• Northland Hearing Centers, Inc. (Hearing Centers of Southwest FL)
• Nursing Pros, PLLC
• Kimberly A O'Connor, COTA/L
• Connor O'Donnell
• Mercedes Olmos

• Family Medicine Physician in Palmetto, FL
• Providers in Palmetto, 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 Jul 21, 2022; 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.