Organization Active NPI

Patricia L Raymond, M.D., PLLC

Doing business as Simply Screening

  • Specialist
  • Chesapeake, VA
National Provider Identifier
1891965422
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101045459 Issued in VA
Legal business name
PATRICIA L RAYMOND, M.D., PLLC
Doing business as
Simply Screening
Practice address
680 Kingsborough SQ
Suite D
Chesapeake, VA 23320-4988
Phone
(757) 523-9755
Fax
(757) 523-8600
NPI assigned
Mar 11, 2008
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Dr. Patricia L Raymond, M.D.NPI 1063410413
Title
Physician
Phone
(757) 523-9755

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 0101045459 VA Primary

Addresses

Primary practice location

680 Kingsborough SQ
Suite D
Chesapeake, VA 23320-4988

Mailing address

680 Kingsborough SQ
Suite D
Chesapeake, VA 23320-4988
Phone (757) 464-1644

Other identifiers 5

IdentifierTypeStateIssuer
105928OtherVAANTHEM
515366OtherVAMAMSI/OPTIMUM CHOICE/MDIPA
010050715MedicaidVA
15938OtherVAOPTIMA
3575971OtherVACIGNA

Other names 1

  • Simply Screening Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1891965422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 KINGSBOROUGH SQ",
            "address_2": "SUITE D",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204988",
            "telephone_number": "757-464-1644",
            "fax_number": "757-363-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 KINGSBOROUGH SQ",
            "address_2": "SUITE D",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204988",
            "telephone_number": "757-523-9755",
            "fax_number": "757-523-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA L RAYMOND, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "RAYMOND",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "757-523-9755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101045459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "105928",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI/OPTIMUM CHOICE/MDIPA",
            "identifier": "515366",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010050715",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "15938",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3575971",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simply Screening",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.