Active NPI
Raymond T King, MD
- Internal Medicine Physician
- Amherst, NH
National Provider Identifier
1902807431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 7747
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.