DR. RAYMOND ROBERT KOMRAY (NPI# 1275553513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275553513 |
| Entity Type | Individual |
| Full Name | DR. RAYMOND ROBERT KOMRAY |
| Credential | M.D. |
| Practice Address |
1365 Mercy Dr Muskegon MI 49444-1837 |
| Practice Telephone | 2317399095 |
| Practice Fax Number | 2317396439 |
| Mailing Telephone | 2317399095 |
| Mailing Fax Number | 2317396439 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS PROV ID NO | 0610450 | 01 |
| MI | PREFERRED CHOICE PRO ID | 105115 | 01 |
| MI | BCBS REFERRING PRO ID NO. | RK039403 | 01 |
| MI | 1517752 | 05 | |
| MI | BLUE CARE NETWORK PRO ID | P55690 | 01 |
| DEA NO. | AK9265984 | 01 |
| Street Address |
1365 MERCY DR |
| City | MUSKEGON |
| State | MI |
| Zip Code | 49444-1837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780883355 | West Michigan Ent Plc | Specialist | 1365 Mercy Dr, Muskegon, MI 49444-1837 | 2007-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073084349 | Cathy Forrest, Ma, LLP Plc | Psychologist | 255 Seminole Road, Suite-205, Muskegon, MI 49444 | 2018-12-16 |
| 1831687276 | Sarah J Weiden | Massage Therapist | 1040 E Sternberg Rd, Muskegon, MI 49444 | 2018-04-30 |
| 1184131500 | Hatem M Gelani Sr. | Dentist | 1725 E Sherman Blvd, Muskegon, MI 49444 | 2018-01-08 |
| 1497123673 | Rite Aid | Pharmacist | 2213 E Hile Road, Muskegon, MI 49444 | 2015-09-04 |
| 1689077075 | Rosa Carpenter-parker | Counselor | 445 East Sherman, Muskegon, MI 49444 | 2014-09-30 |
| 1417373036 | Smile Center Pllc | Dentist | 3500 Park Street, Smile Center Pllc, Muskegon, MI 49444 | 2014-03-06 |
| 1134460439 | Adam L Powell | Physical Medicine & Rehabilitation | 1675 E Mount Garfield Rd, Muskegon, MI 49444 | 2013-03-12 |
| 1972847135 | Kristen Haugh | Physical Therapist | 5251 Harvey St Ste 100, Norton Shores, MI 49444 | 2012-11-12 |
| 1912261694 | Brandon D Freel | Obstetrics & Gynecology | 6401 Prairie St Ste 2100, Norton Shores, MI 49444 | 2012-06-27 |
| 1437434487 | Amy Stegall | Pharmacist | 1171 E Sherman, Norton Shores, MI 49444 | 2011-10-20 |
| Find all providers in zip 49444 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093010175 | Daniel Clapper | Specialist | 2021 Hoyt St, Muskegon, MI 49444-1118 | 2011-01-20 |
| 1104005065 | Shoreline Neurosurgical Consulting, Plc | Specialist | 1675 Leahy St., Suite 401, Muskegon, MI 49442 | 2007-10-29 |
| 1649368093 | John E Mcdonald | Specialist | 1762 Wagner Ave, Muskegon, MI 49442-2400 | 2006-10-11 |
| 1639123771 | John Leclaire M.d., P.l.c. | Specialist | 172 E Forest Ave, Muskegon, MI 49442-5541 | 2006-05-22 |
| 1487621967 | Daniel Weller | Specialist | 1440 E Harbour Towne Cir, Muskegon, MI 49441-6401 | 2006-03-03 |
| 1396740825 | Hikmet H Sipahi II | Specialist | 1440 E Sherman Blvd, Suite 200, Muskegon, MI 49444-1816 | 2005-06-21 |
| 1255334397 | Willard Peter Debraber | Specialist | 1761 Wells Ave, Muskegon, MI 49442-2459 | 2005-05-23 |
| 1932721602 | Joshua Stewart Vandenberg | Specialist | 376 E Apple Ave, Muskegon, MI 49442-3466 | 2020-05-15 |
| 1437626942 | Kelly J Stafford | Specialist | 1060 W Norton Ave, Muskegon, MI 49441-4175 | 2018-11-01 |
| 1669875779 | Kathy Varboncoeur | Specialist | 1823 Commerce St, Muskegon, MI 49441-2608 | 2014-10-02 |
| Find all providers in MUSKEGON | ||||
Please comment or provide details below to improve the information on DR. RAYMOND ROBERT KOMRAY.
| 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.