MARK ANTHONY RAYMOND (NPI# 1245217074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245217074 |
Entity Type | Individual |
Full Name | MARK ANTHONY RAYMOND |
Credential | D.M.D. |
Practice Address |
208 Front St W Coeburn VA 24230-3502 |
Mailing Address |
Po Box 2214 Coeburn VA 24230-2214 |
Practice Telephone | 2763956632 |
Practice Fax Number | 2763955601 |
Mailing Telephone | 2763956632 |
Mailing Fax Number | 2763955601 |
Enumeration Date | 2005-12-22 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
0401410712 | VA | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 9179077 | 05 | |
VA | BLUE CROSS BLUE SHIELD | 146346 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487964292 | Mark Apollo Raymond | Counselor | 526 Kingwood Dr # 231, Kingwood, TX 77339-4473 | 2010-10-14 |
1649249723 | Mark C Raymond | Ophthalmology | 1321 W Dakota Pkwy, Williston, ND 58801-3807 | 2006-03-14 |
Street Address |
208 FRONT ST W |
City | COEBURN |
State | VA |
Zip Code | 24230-3502 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003380759 | Appalachian Center for Excellence In Healthcare Inc | Internal Medicine | 208 Front St W, Coeburn, VA 24230-3502 | 2019-01-16 |
1255803821 | Cara Robinson | Nurse Practitioner | 208 Front St W, Coeburn, VA 24230-3502 | 2018-12-20 |
1174928766 | Christine Michelle Mullins | Nurse Practitioner | 208 Front St W, Coeburn, VA 24230-3502 | 2014-10-26 |
1700123122 | Henry Price Viers | Nurse Practitioner | 208 Front St W, Coeburn, VA 24230-3502 | 2013-01-04 |
1013011337 | Teresa Tyson | Nurse Practitioner | 208 Front St W, Coeburn, VA 24230-3502 | 2006-09-08 |
1487606729 | Joseph F Smiddy | Internal Medicine | 208 Front St W, Coeburn, VA 24230 | 2006-05-16 |
1811968662 | Wilma Deel | Nurse Practitioner | 208 Front St W, Coeburn, VA 24230-3502 | 2006-01-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285240523 | Burley Walter Ball Jr. | Driver | 4313 Buckingham Rd, Coeburn, VA 24230 | 2020-09-22 |
1447736152 | Ttgi Corp | Pharmacy | 201 Laurel Ave, Coeburn, VA 24230 | 2018-07-16 |
1922591882 | Joshua Key | Physical Therapist | 118 Mooney Drive, Coeburn, VA 24230 | 2018-06-14 |
1780100024 | Jimmy F Williams Jr. | Driver | 823 Front St E, Coeburn, VA 24230 | 2017-08-18 |
1801175641 | Family Preservation Services, Inc. | Community/Behavioral Health | 115 Litchfield Street, Coeburn, VA 24230 | 2011-08-10 |
1457582041 | Family Preservation Services, Inc | Community/Behavioral Health | 518 Centre Ave Ne, Coeburn, VA 24230 | 2009-07-31 |
1023276854 | Sandy Ridge Volunteer Rescue Squad | Ambulance | 109 Carico Ridge, Coeburn, VA 24230 | 2008-05-29 |
1801089677 | Family Preservation Services | Community/Behavioral Health | 323 School House Hill Drive, Coeburn, VA 24230 | 2007-08-24 |
1043411184 | Community Physicians Services Corporation | Clinic/Center | 485 Front Street, Marty Shopping Center, Coeburn, VA 24230 | 2007-05-29 |
1942322003 | St Charles Health Council Inc | Clinic/Center | 815 4a Laurel Avenue, Coeburn, VA 24230 | 2007-04-06 |
Find all providers in zip 24230 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518006766 | Mark Raymond Dmd Pllc | Dentist | 208 Front St., Coeburn, VA 24230 | 2007-02-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477154516 | Kim Ierna Kitchen Dds, PC | Dentist | 500 Montgomery St Ste 250, Alexandria, VA 22314-1558 | 2020-11-05 |
1548877194 | Vishakha N Devrukhkar | Dentist | 4011 Wards Rd Ste A, Lynchburg, VA 24502-2943 | 2020-09-28 |
1477160547 | Modaresi & Avin Dds Pllc | Dentist | 24805 Pinebrook Rd Ste 112, Chantilly, VA 20152-4127 | 2020-09-23 |
1215549654 | Alan Ostrovsky | Dentist | 9225 Doerr Rd # 1220, Fort Belvoir, VA 22060-2204 | 2020-08-18 |
1861003576 | Se Eun Ahn | Dentist | 1647 Admiral Taussig Blvd Ste 241, Norfolk, VA 23511-2803 | 2020-08-14 |
1891305868 | Chanel Von Schlichting | Dentist | 1300 Cedar Rd Ste 100, Chesapeake, VA 23322-7414 | 2020-08-05 |
1952910358 | Erica Vetter | Dentist | 10525 Braddock Rd Ste 9a, Fairfax, VA 22032-2257 | 2020-07-31 |
1336758382 | Chitti Mengji | Dentist | 3441 Kilburn Cir Apt 618, Henrico, VA 23233-1137 | 2020-07-27 |
1518575851 | Reza Tahernia & Associates Pllc | Dentist | 1901 N Moore St Ste 501, Arlington, VA 22209-1700 | 2020-07-22 |
1467060996 | Daniel Kuyk | Dentist | 616 Campus Dr Ste 100, Abingdon, VA 24210-9706 | 2020-07-21 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.