CRYSTAL E RAYON


Address: 1575 N Rivercenter Dr, Milwaukee, WI 53212-3978
Phone: 4142838444

CRYSTAL E RAYON (NPI# 1265968655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265968655
Entity Type Individual
Full Name CRYSTAL E RAYON
Credential M.D.
Practice Address 1575 N Rivercenter Dr
Milwaukee
WI 53212-3978
Mailing Address 3301 W Forest Home Ave
Milwaukee
WI 53215-2843
Practice Telephone 4142838444
Mailing Telephone 4143892131
Enumeration Date 2017-05-04
Last Update Date 2020-09-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 74035 WI Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine 125.070653 IL Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
836 W Wellington Ave, Chicago, IL 606575147 7739751600

Office Location

Street Address 1575 N RIVERCENTER DR
City MILWAUKEE
State WI
Zip Code 53212-3978

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427032960 Debesh Chandra Mazumdar Internal Medicine 1575 N Rivercenter Dr, Suite 104, Milwaukee, WI 53212-3978 2005-11-29
1740817204 Haille Damaris Newell Massage Therapist 1575 N Rivercenter Dr, Milwaukee, WI 53212-3978 2020-03-25
1073143921 Sarah C Flynn Pharmacist 1575 N Rivercenter Dr, Milwaukee, WI 53212-3978 2020-01-20
1639645740 Taylor Catherine Villwock Nurse Practitioner 1575 N Rivercenter Dr, Milwaukee, WI 53212-3978 2018-10-16
1487198008 Christine Tjernagel Physical Therapist 1575 N Rivercenter Dr, Rehabilitation/therapy Dept, Milwaukee, WI 53212-3978 2016-12-16
1891159612 Shane Breeze-baldauf Family Medicine 1575 N Rivercenter Dr, Milwaukee, WI 53212 2016-04-07
1487029351 Aurora Pharmacy Pharmacy 1575 N Rivercenter Dr, Milwaukee, WI 53212-3978 2015-12-03
1013354661 Michael Holyoke Student in an Organized Health Care Education/Training Program 1575 N Rivercenter Dr, Milwaukee, WI 53212-3978 2013-05-22
1477802148 Razieh Hadian Jazi Family Medicine 1575 N Rivercenter Dr, #160, Milwaukee, WI 53212-3978 2012-09-10
1104198605 Joseph H Mehring Chiropractor 1575 N Rivercenter Dr, Milwaukee, WI 53212-3978 2012-01-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609481001 Beth Leanna Counselor Benedict Center 1849 N Dr. Marin Luther King Dr., Suite 101, Milwaukee, WI 53212 2020-09-11
1326683749 A.b.d.h. Counseling Services LLC Clinic/Center 518 E Concordia Avenue, Milwaukee, WI 53212 2019-11-08
1467095703 Ifrah Hameed Psychologist 1849 N Doctor M.l.k. Jr Dr# 101, Milwaukee, WI 53212 2019-10-18
1386293330 Rachel Mae Nelson Bagha Student in an Organized Health Care Education/Training Program 1849 N Doctor M.l.k. Jr Dr #101, Milwaukee, WI 53212 2019-09-11
1164085205 Mary Sue Daase Bowen Counselor 2821 N 4th Street, Milwaukee, WI 53212 2019-04-15
1649733189 Stacey King Counselor Rivershore Comprehensive Treatment Facility, 3703 N Richards St, Milwaukee Wi, Milwaukee, WI 53212 2019-04-11
1710447701 Scott William Stauder Student in an Organized Health Care Education/Training Program 1121 E. North Ave., Milwaukee, WI 53212 2019-03-25
1821561168 Lydia Ann Mendez Counselor 3703 N Richards St, Milwaukee, WI 53212 2019-01-09
1851863302 Glen Victor Fleming Counselor 2821 North 4th Street Suite 210, Milwaukee, WI 53212 2018-12-21
1093285140 Megan Marie Volp Advanced Practice Midwife 2555 N Doctor M.l.k. Jr Dr, Milwaukee, WI 53212 2018-12-03
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730679804 Vicki Milroy Family Medicine 2778 S 35th St Ste 102, Milwaukee, WI 53215-3578 2018-05-15
1376050450 Independent Physicians of Wisconsin, LLC Family Medicine 5233 S 27th St, Milwaukee, WI 53221-3764 2018-01-10
1427565548 Independent Physicians of Wisconsin, LLC Family Medicine 3201 S 16th St Ste 2020, Milwaukee, WI 53215-4532 2018-01-10
1962932970 Mary Kuder Family Medicine 176 N Broadway, Milwaukee, WI 53202-6015 2017-06-13
1386178804 Dane A Olsen Family Medicine 801 W Kinnickinnic River Pkwy., Suite 250, Milwaukee, WI 53215 2017-04-12
1598296212 Leslie J Rabaut Family Medicine 2801 W Kk River Pkwy Ste 250, Milwaukee, WI 53215-3678 2017-03-23
1871975920 Independent Physicians of Wisconsin, LLC Family Medicine 5434 W Capitol Dr Ste 3, Milwaukee, WI 53216-2298 2015-06-25
1952717928 Mobile Medical Clinic, Inc Family Medicine 2418 W Edgerton Ave, Milwaukee, WI 53221-3412 2014-07-10
1437572831 Pathfinder Medical Group Family Medicine 216 Milwaukee St, Suite 2d, Milwaukee, WI 53202 2014-01-22
1376897413 Sandra Kathleen Mahkorn Family Medicine 3050 S Superior St, Milwaukee, WI 53207-3064 2012-10-26
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Competitor

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City MILWAUKEE
Zip Code 53212

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Dataset Information

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.

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