David B Raynor DPM PA

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO2467 Issued in FL

Legal business name

DAVID B RAYNOR DPM PA

Practice address

490 Pleasant Grove Rd
Inverness, FL 34452-5746

Phone

(352) 726-3668

Fax

(352) 726-1003

NPI assigned

Feb 26, 2008

Organization subpart

No

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

Authorized official

Name

David B Raynor, DPMNPI 1265597629

Title

Owner/President

Phone

(352) 726-3668

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Bryan Raynor, DPM

  • Foot & Ankle Surgery Podiatrist
  • Inverness, FL
  • NPI 1265597629
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236124800000",
    "number": "1497924179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 PLEASANT GROVE RD",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344525746",
            "telephone_number": "352-726-3668",
            "fax_number": "352-726-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 PLEASANT GROVE RD",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344525746",
            "telephone_number": "352-726-3668",
            "fax_number": "352-726-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID B RAYNOR DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2009-03-04",
        "status": "A",
        "authorized_official_last_name": "RAYNOR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "352-726-3668",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO2467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "DH0351",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P00468303",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Isabella L Davis
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• Foot & Ankle Surgery Podiatrist in Inverness, FL
• Providers in Inverness, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.