Individual provider Active NPI

Raymond D Hesse, MD INT MED & GERI

  • Geriatric Medicine (Internal Medicine) Physician
  • Aiken, SC
National Provider Identifier
1881771830
Registry record updated Sep 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
7416 Issued in SC
Practice address
410 University Pkwy
Aiken Internal Med PA Ste 2500
Aiken, SC 29801-6810
Phone
(803) 648-7888
Fax
(803) 648-3302
NPI assigned
Nov 1, 2006
Last updated
Sep 29, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 7416 SC Primary

Addresses

Primary practice location

410 University Pkwy
Aiken Internal Med PA Ste 2500
Aiken, SC 29801-6810

Mailing address

PO Box 215
Aiken, SC 29802-0215
Phone (803) 648-7888

Other identifiers 2

IdentifierTypeStateIssuer
074163MedicaidSC
110048686OtherSCRAILROAD MEDICARE

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

LicenseStateTypeSpecialty
7416SCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Aiken Internal Med PA Current Accepting new patients

Locations

410 University Pkwy
Ste 2500
Aiken, SC 29801
Phone (803) 648-7888

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285718400000",
    "number": "1881771830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 215",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298020215",
            "telephone_number": "803-648-7888",
            "fax_number": "803-648-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 UNIVERSITY PKWY",
            "address_2": "AIKEN INTERNAL MED PA STE 2500",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298016810",
            "telephone_number": "803-648-7888",
            "fax_number": "803-648-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESSE",
        "first_name": "RAYMOND",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD INT MED & GERI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "SC",
            "license": "7416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "074163",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110048686",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.