Active NPI
Raymond Powell, MD
- Emergency Medical Services (Emergency Medicine) Physician
- Redding, CA
National Provider Identifier
1629374244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- A74380
- Practice address
- 445 Hemsted Dr
Redding, CA 96002-0143 - Phone
- (530) 222-5459
- Fax
- (530) 222-2916
- NPI assigned
- Jan 28, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | A74380 | CA | Primary |
Addresses
Primary practice location
445 Hemsted Dr
Redding, CA 96002-0143
Mailing address
PO Box 494939
Redding, CA 96049-4939
Phone (530) 222-5459
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A74380 | CA | MD | Emergency Medical Services (Emergency Medicine) Physician |
| 5096 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Carolina Dept of Mental Health Accounting Office | Past | Accepting new patients | |
| Self Regional Healthcare | Past | Accepting new patients | |
| South Carolina Dept of Mental Health Accounting Office | Past | Accepting new patients | |
| Allendale County Hospital Board | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Rural Health Clinic/Center
- Allendale, SC
- NPI 1407906878
-
- Diabetes Educator Registered Nurse
- Greenwood, SC
- NPI 1417582503
-
- Community/Behavioral Health Agency
- Columbia, SC
- NPI 1083421994
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Spartanburg, SC
- NPI 1427168889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296172800000",
"number": "1629374244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 494939",
"city": "REDDING",
"state": "CA",
"postal_code": "960494939",
"telephone_number": "530-222-5459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 HEMSTED DR",
"city": "REDDING",
"state": "CA",
"postal_code": "960020143",
"telephone_number": "530-222-5459",
"fax_number": "530-222-2916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "RAYMOND",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-01-28",
"last_updated": "2011-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "CA",
"license": "A74380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.