Raphael Family Medicine LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MD032205E Issued in PA

Legal business name

RAPHAEL FAMILY MEDICINE LLC

Practice address

3025 Jacks Run Rd
McKeesport, PA 15131-2549

Phone

(412) 673-0738

Fax

(412) 673-0739

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Eileen Marie Kummant, MD

Title

Physician Owner

Phone

(412) 673-0738

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508915729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 JACKS RUN RD",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "151312549",
            "telephone_number": "412-673-0738",
            "fax_number": "412-673-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 JACKS RUN RD",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "151312549",
            "telephone_number": "412-673-0738",
            "fax_number": "412-673-0739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPHAEL FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KUMMANT",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "412-673-0738",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PA",
            "license": "MD032205E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01716747",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bethany Rajaratnam, M.S. CCC-SLP
• Timothy Clint Ramharry, MD
• Ramon G. Lozano, M.D. LLC
• Andrea Ramsey
• Christina Ransom
• Christine Rapp, PT
• Jennifer Raymond
• Melissa Raynes
• Belinda Reed
• Rachel Reed

• Primary Care Clinic/Center in McKeesport, PA
• Providers in McKeesport, PA by specialty
• Primary Care Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.