Individual provider Active NPI

Raymond G Nemer, M.D.

  • Family Medicine Physician
  • Gregory, SD
National Provider Identifier
1518923721
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0534 Issued in SD
Practice address
405 Whittecar Ave
Gregory, SD 57533-1340
Phone
(605) 835-9611
Fax
(605) 835-8033
NPI assigned
Apr 25, 2006
Last updated
Mar 3, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0534 SD Primary
Family Medicine Physician 207Q00000X 10323 NE

Addresses

Primary practice location

405 Whittecar Ave
Gregory, SD 57533-1340

Mailing address

405 Whittecar Ave
Gregory, SD 57533-1340
Phone (605) 835-9611

Other identifiers 4

IdentifierTypeStateIssuer
0000028OtherSDWELLMARK BC/BS GROUP #
46022474312MedicaidNE
0534OtherSDDAKOTACARE
5601643MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
534SDMDProfessional Counselor
10323NEMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204502400000",
    "number": "1518923721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 WHITTECAR AVE",
            "city": "GREGORY",
            "state": "SD",
            "postal_code": "575331340",
            "telephone_number": "605-835-9611",
            "fax_number": "605-835-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 WHITTECAR AVE",
            "city": "GREGORY",
            "state": "SD",
            "postal_code": "575331340",
            "telephone_number": "605-835-9611",
            "fax_number": "605-835-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEMER",
        "first_name": "RAYMOND",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2008-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "0534",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "10323",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BC/BS GROUP #",
            "identifier": "0000028",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46022474312",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTACARE",
            "identifier": "0534",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5601643",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gregory, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.