Raymond Henderson MD PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME59588 Issued in FL

Legal business name

RAYMOND HENDERSON MD PA

Practice address

1717 N Flagler Dr
Suite 3
West Palm Beach, FL 33407-6555

Phone

(561) 804-9898

Fax

(561) 804-9049

NPI assigned

Aug 26, 2010

Last updated

Aug 26, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephanie Henderson

Title

Office Manager

Phone

(561) 804-9898

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282780800000",
    "number": "1760798839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 N FLAGLER DR",
            "address_2": "SUITE 3",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334076555",
            "telephone_number": "561-804-9898",
            "fax_number": "561-804-9049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 N FLAGLER DR",
            "address_2": "SUITE 3",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334076555",
            "telephone_number": "561-804-9898",
            "fax_number": "561-804-9049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND HENDERSON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-26",
        "last_updated": "2010-08-26",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "561-804-9898"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME59588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055398100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Latoya Rawls
• Barry P Raxenberg, D.C.
• Brian James Edward Ray, APRN, FNP-BC
• Erika Ray
• Jeff P Ray, LMHC, CAP, CSAT
• Ashley Raymond
• Cassidy Raymond
• Marilyn Cynthia Raymond, M.D.
• Saskia Raymond
• Tabitha Raymond

• Surgery Physician in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; 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.