Raymond S Nanko MD

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

01045371A Issued in IN

Legal business name

RAYMOND S NANKO MD

Doing business as

ActiveCare Medical

Practice address

919 W Jackson St
Muncie, IN 47305-1554

Phone

(765) 288-3276

Fax

(765) 289-2389

NPI assigned

Jun 29, 2012

Last updated

May 29, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Raymond S Nanko, MDNPI 1497782932

Title

Owner

Phone

(765) 288-3276

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ActiveCare Medical Doing business as

Locations

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.

• Raymond Scott Nanko, M.D.

  • Interventional Pain Medicine Physician
  • Muncie, IN
  • NPI 1497782932
  NPD Authorized official

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432857600000",
    "number": "1922362334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 730",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460380730",
            "telephone_number": "317-219-5409",
            "fax_number": "317-219-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 W JACKSON ST",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473051554",
            "telephone_number": "765-288-3276",
            "fax_number": "765-289-2389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND S NANKO MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-29",
        "last_updated": "2015-05-29",
        "status": "A",
        "authorized_official_last_name": "NANKO",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-288-3276",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IN",
            "license": "01045371A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201163010 A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ActiveCare Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ismael Rashid, MD
• Christopher Allen Ratledge
• Janet Sue Ratliff
• Anand Kumar Ravi, MD
• Alyssa Marie Ray
• Eileen Raywood, D.D.S.
• Stephanie A Reagan, NP
• Recoup Home Healthcare Services, LLC
• Adam Edward Rector, D.D.S.
• Bruce A Rector, LCSW

• Interventional Pain Medicine Physician in Muncie, IN
• Providers in Muncie, IN by specialty
• Interventional Pain Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; 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.