Raul Ceballos Jr., MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

20673 Issued in SC

Practice address

684 N Pine St
Spartanburg, SC 29303-3745

Phone

(864) 542-0033

Fax

(864) 542-0025

NPI assigned

May 19, 2006

Last updated

Feb 24, 2017By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487894400000",
    "number": "1811940745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "684 N PINE ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033745",
            "telephone_number": "864-542-0033",
            "fax_number": "864-542-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "684 N PINE ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033745",
            "telephone_number": "864-542-0033",
            "fax_number": "864-542-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEBALLOS",
        "first_name": "RAUL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2017-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "20673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gibson Gail Cates, CNM, MS
• Vicki J Cathcart, LMFT
• Erin Cato, LMSW
• Charles Paul Catron, M.D.,
• Angela K Caudill, AGACNP
• Cedar Spring Family Dentistry
• Celligent Diagnostics, LLC
• Center for Neurology Care LLC
• Centerwell Senior Primary Care (SC) PC (CenterWell Senior Primary Care- Spartanburg)
• Bradley Mark Ceremuga, D.O.

• Diagnostic Radiology Physician in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Diagnostic Radiology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; 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.