Raelynn Torzone, PHYSICIAN ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

012122-1 Issued in NY

Practice address

1071 MD RT 3 N Ste 101
Gambrills, MD 21054-1784

Phone

(410) 721-2333

Fax

(410) 721-1207

NPI assigned

Oct 9, 2007

Sex

Female

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 1

Other names 1

• Raelynn Killian Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1710175336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1071 MD RT 3 N STE 101",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541784",
            "telephone_number": "410-721-2333",
            "fax_number": "410-721-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1071 MD RT 3 N STE 101",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541784",
            "telephone_number": "410-721-2333",
            "fax_number": "410-721-1207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4101 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NY",
            "postal_code": "130666600",
            "country_code": "US",
            "telephone_number": "315-637-7878",
            "fax_number": "315-637-7808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2114 Generals Hwy",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214017488",
            "country_code": "US",
            "telephone_number": "315-466-2884",
            "fax_number": "315-466-2884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TORZONE",
        "first_name": "RAELYNN",
        "name_prefix": "Mrs.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "012122-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02957688",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAELYNN",
            "last_name": "KILLIAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• T. Cedric Brown Ministries
• Laura L Tallman, DPT
• Ann Marie Tetkowski, RPH, PD
• The Haven Family and Cosmetic Dentistry LLC
• Thrive and Wellness Therapy LLC
• Cindy Tran, D.AC., L.AC.
• Caroline G Tyrrell
• Denise Carol Tyson, DOM, L.AC.
• Aras Leon Vanbibber Jr.
• Kayleigh Vaughn

• Physician Assistant in Gambrills, MD
• Providers in Gambrills, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.