Active NPI
Raymond Carroll Oakes, MD
- Anesthesiology Physician
- Phoenix, AZ
National Provider Identifier
1720053960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 34625
- Practice address
- 645 E Missouri Ave Ste 300
Phoenix, AZ 85012-1351 - Phone
- (602) 262-8900
- Fax
- (480) 773-7200
- NPI assigned
- Feb 21, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 34625 | AZ | Primary |
Addresses
Primary practice location
645 E Missouri Ave Ste 300
Phoenix, AZ 85012-1351
Mailing address
645 E Missouri Ave
Ste 300
Phoenix, AZ 85012-1351
Phone (602) 262-8900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 055350 | Medicaid | AZ |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34625 | AZ | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639958400000",
"number": "1720053960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "645 E MISSOURI AVE",
"address_2": "STE 300",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850121351",
"telephone_number": "602-262-8900",
"fax_number": "602-262-8890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "645 E MISSOURI AVE STE 300",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850121351",
"telephone_number": "602-262-8900",
"fax_number": "480-773-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OAKES",
"first_name": "RAYMOND",
"middle_name": "CARROLL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-21",
"last_updated": "2021-12-20",
"certification_date": "2021-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AZ",
"license": "34625",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "055350",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.