Active NPI
Anthony Nicholas Raica, MS CCCA
- Audiologist
- Conroe, TX
National Provider Identifier
1528142155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 50232
- Practice address
- 3301 W Davis Street
Suite E
Conroe, TX 77304-1872 - Phone
- (936) 788-2212
- Fax
- (936) 788-2231
- NPI assigned
- Oct 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 50232 | TX | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | 90230 | TX |
Addresses
Primary practice location
3301 W Davis Street
Suite E
Conroe, TX 77304-1872
Mailing address
3301 W Davis Street
Suite E
Conroe, TX 77304-1872
Phone (936) 788-2212
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50232 | Other | TX | STATE BOARD EXAMINERS FOR |
| 90230 | Other | TX | STATE BOARD EXAMINERS TO |
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 90230 | TX | MD | Mental Health Counselor |
| 50232 | TX | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marquardt Audiology & Hearing AIDS PLLC | Audiologist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Audiologist
- The Woodlands, TX
- NPI 1194085563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340928000000",
"number": "1528142155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 W DAVIS STREET",
"address_2": "SUITE E",
"city": "CONROE",
"state": "TX",
"postal_code": "773041872",
"telephone_number": "936-788-2212",
"fax_number": "936-788-2231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 W DAVIS STREET",
"address_2": "SUITE E",
"city": "CONROE",
"state": "TX",
"postal_code": "773041872",
"telephone_number": "936-788-2212",
"fax_number": "936-788-2231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAICA",
"first_name": "ANTHONY",
"middle_name": "NICHOLAS",
"name_prefix": "Mr.",
"credential": "MS CCCA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2012-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "50232",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "TX",
"license": "90230",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD EXAMINERS FOR",
"identifier": "50232",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD EXAMINERS TO",
"identifier": "90230",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.