Individual provider Active NPI

Raymond T King, MD

  • Internal Medicine Physician
  • Amherst, NH
National Provider Identifier
1902807431
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
7747 Issued in NH
Practice address
3 Gilmore LN
Amherst, NH 03031-2133
Phone
(603) 557-8522
NPI assigned
Aug 9, 2005
Reactivated
Mar 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 7747 NH
Internal Medicine Physician 207R00000X 7747 NH Primary

Addresses

Primary practice location

3 Gilmore LN
Amherst, NH 03031-2133

Mailing address

3 Gilmore LN
Amherst, NH 03031-2133
Phone (603) 557-8522

Other practice location 1

505 W Hollis St Ste 106
Nashua, NH 03062-1386
Phone (603) 577-1613

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041201000668 NH Practitioner - Internal Medicine 5496710469 Practice locations: Amherst, NH; Nashua, NH

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1902807431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 GILMORE LN",
            "city": "AMHERST",
            "state": "NH",
            "postal_code": "030312133",
            "telephone_number": "603-557-8522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 GILMORE LN",
            "city": "AMHERST",
            "state": "NH",
            "postal_code": "030312133",
            "telephone_number": "603-557-8522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 W Hollis St Ste 106",
            "address_purpose": "LOCATION",
            "city": "Nashua",
            "state": "NH",
            "postal_code": "030621386",
            "country_code": "US",
            "telephone_number": "603-577-1613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "RAYMOND",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "deactivation_date": "2006-03-22",
        "reactivation_date": "2006-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "7747",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "7747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NH

Sources for this page

Verify at the official NPI Registry.