Individual provider Active NPI

Raymond P Coombe, M.D.

  • Anesthesiology Physician
  • Charleston, WV
National Provider Identifier
1518967934
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
17250 Issued in WV
Practice address
3508 Staunton Ave SE
Charleston, WV 25304-1477
Phone
(304) 925-4086
NPI assigned
Jul 28, 2005
Last updated
Nov 15, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 17250 WV Primary

Addresses

Primary practice location

3508 Staunton Ave SE
Charleston, WV 25304-1477

Mailing address

PO Box 3444
Charleston, WV 25334-3444
Phone (304) 925-5486

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100520000964 WV Practitioner - Anesthesiology 2466431218 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17250WVMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
General Anesthesia Services Inc Anesthesiology CurrentSince Jul 1, 1993 Accepting new patients

Locations

3508 Staunton Ave SE
Charleston, WV 25304
Phone (304) 925-4086

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1518967934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3444",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253343444",
            "telephone_number": "304-925-5486",
            "fax_number": "304-925-8075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3508 STAUNTON AVE SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041477",
            "telephone_number": "304-925-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOMBE",
        "first_name": "RAYMOND",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WV",
            "license": "17250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.