Raymond Earl Causey Jr.
Individual provider Active NPI Contractor · Freeland, MD
NPI 1558090118 · NPPES record last updated Jun 8, 2022
Key facts
- NPI
- 1558090118
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- License
- 3000801661 (MD)
- Practice address
- 20100 Middletown Rd
Freeland, MD 21053-9435 - Phone
- (443) 506-0724
- NPI assigned
- Jun 8, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3000801661 | MD | MD | Contractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 3000801661 | MD | Yes |
Addresses
Primary practice location
20100 Middletown Rd
Freeland, MD 21053-9435
Mailing address
20100 Middletown Rd
Freeland, MD 21053-9435
Phone (443) 506-0724
Other providers in Freeland, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.