Andrew Carlton Raynor, M.D.

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

40252 Issued in OH

Practice address

471 N Cleveland Massillon Rd
Akron, OH 44333-2426

Phone

(330) 668-4045

Fax

(330) 668-2492

NPI assigned

Jun 23, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Crystal Clinic Inc

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Akron, OH
  • NPI 1063966042
  NPD (past)
• Crystal Clinic, Inc.

  • Orthopaedic Surgery Physician
  • Akron, OH
  • NPI 1619906914
  NPD (past)

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1669478780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 N CLEVELAND MASSILLON RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443332426",
            "telephone_number": "330-668-4045",
            "fax_number": "330-668-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 N CLEVELAND MASSILLON RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443332426",
            "telephone_number": "330-668-4045",
            "fax_number": "330-668-2492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYNOR",
        "first_name": "ANDREW",
        "middle_name": "CARLTON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "OH",
            "license": "40252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "P00263024",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0394550",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy L Ray, M.D.
• Susan Ray, MD
• Taliah M Ray
• Shania Rayford
• Joel Daniel Rayl, M.D.
• Suban Mohamed Razack, M.D.
• Roshan Abdul Razik, MD, MPH, FRCPC
• Rcsa LLC
• Courtney Re
• Mark Edward Rea, M.D.

• Rheumatology Physician in Akron, OH
• Providers in Akron, OH by specialty
• Rheumatology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.