Active NPI
Clayton L Raab, MD
- Cardiovascular Disease Physician
- Salisbury, MD
National Provider Identifier
1881673986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- D0019289
- Practice address
- 3910 Gold Hawk Mews
Salisbury, MD 21804-2531 - Phone
- (410) 546-1402
- NPI assigned
- Jan 17, 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | D0019289 | MD | Primary |
Addresses
Primary practice location
3910 Gold Hawk Mews
Salisbury, MD 21804-2531
Mailing address
3910 Gold Hawk Mews
Salisbury, MD 21804-2531
Phone (410) 546-1402
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 319351900 | Medicaid | MD | |
| 010199336 | Medicaid | VA | |
| 4404953 | Other | AETNA | |
| 262255 | Other | COVENTRY | |
| 343883 | Other | UNITED HEALTHCARE | |
| P0022143 | Other | MEDDICARE RAILROAD | |
| 4696048 | Other | CIGNA | |
| 10000022830 | Other | DELAWARE PHY. | |
| J333-0002 | Other | DC | BLUE CROSS |
| 000017371 | Medicaid | DE | |
| 41953706 | Other | MD | BLUE CROSS |
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 |
|---|---|---|---|
| D0019289 | MD | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187827200000",
"number": "1881673986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3910 GOLD HAWK MEWS",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218042531",
"telephone_number": "410-546-1402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3910 GOLD HAWK MEWS",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218042531",
"telephone_number": "410-546-1402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAAB",
"first_name": "CLAYTON",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-17",
"last_updated": "2007-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MD",
"license": "D0019289",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "319351900",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010199336",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4404953",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY",
"identifier": "262255",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "343883",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDDICARE RAILROAD",
"identifier": "P0022143",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4696048",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELAWARE PHY.",
"identifier": "10000022830",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "J333-0002",
"state": "DC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000017371",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "41953706",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.