S. H. Raythatha MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

SR040618 Issued in MI

Legal business name

S. H. RAYTHATHA MD PC

Practice address

4672 Hill St
Cass City, MI 48726-1028

Phone

(989) 872-5010

Fax

(989) 872-9942

NPI assigned

Jul 27, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Surendra Haridas Raythatha, MD

Title

President/Physician

Phone

(989) 872-5010

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219622400000",
    "number": "1700886231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4672 HILL ST",
            "city": "CASS CITY",
            "state": "MI",
            "postal_code": "487261028",
            "telephone_number": "989-872-5010",
            "fax_number": "989-872-9942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4672 HILL ST",
            "city": "CASS CITY",
            "state": "MI",
            "postal_code": "487261028",
            "telephone_number": "989-872-5010",
            "fax_number": "989-872-9942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. H. RAYTHATHA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-27",
        "last_updated": "2008-08-25",
        "status": "A",
        "authorized_official_last_name": "RAYTHATHA",
        "authorized_official_first_name": "SURENDRA",
        "authorized_official_middle_name": "HARIDAS",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "989-872-5010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "SR040618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0790012",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2763572",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Rockwell, BCABA
• Debra Lee Rodriguez
• Bailee Rufo, BCABA
• Brendon Rufo
• Jossalyn Russell, 106S00000X BT
• Tiffany Saaby
• Marianna Salcido, BT
• Isabella Sanback, BT
• Mya Sanchez
• Lauren Scaddan

• Family Medicine Physician in Cass City, MI
• Providers in Cass City, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; 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.