REID A RAVIN


Address: 4755 Ogletown Stanton Rd Ste 1e20, Newark, DE 19718-2200
Phone: 3027335700

REID A RAVIN (NPI# 1437415684) 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) 1437415684
Entity Type Individual
Full Name REID A RAVIN
Credential M.D.
Practice Address 4755 Ogletown Stanton Rd Ste 1e20
Newark
DE 19718-2200
Practice Telephone 3027335700
Practice Fax Number 3027335775
Mailing Telephone 3027335700
Mailing Fax Number 3027335775
Enumeration Date 2012-04-02
Last Update Date 2020-06-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0129X Surgery
Specialization: Vascular Surgery
C1-0013639 DE Allopathic & Osteopathic Physicians
N 2086S0129X Surgery
Specialization: Vascular Surgery
273645 NY Allopathic & Osteopathic Physicians
N 2086S0129X Surgery
Specialization: Vascular Surgery
273645-1 NY Allopathic & Osteopathic Physicians

Office Location

Street Address 4755 OGLETOWN STANTON RD STE 1E20
City NEWARK
State DE
Zip Code 19718-2200

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063916500 William Joseph Ryan II Student in an Organized Health Care Education/Training Program 4755 Ogletown Stanton Rd Ste 1e20, Newark, DE 19718-2200 2018-03-20
1427454206 Kristen G. Koechert Registered Nurse 4755 Ogletown Stanton Rd Ste 1e20, Newark, DE 19718-2081 2014-11-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679026272 Vikashsingh Parshin Rambhujun Student in an Organized Health Care Education/Training Program 4755 Ogletown-stanton Road, Suite 2875, Newark, DE 19718 2016-07-29
1730536053 David Nathan Levine Student in an Organized Health Care Education/Training Program 4755 Ogletown-stanton Rd, Christiana Health Care, Newark, DE 19718 2016-05-17
1831570332 Waqas Abid Student in an Organized Health Care Education/Training Program 4755 Ogletown-stanton Rd, S-le45, Newark, DE 19718 2015-06-11
1366886368 Amanda J Taylor Family Medicine 4755 Ogletown Stanton Rd Ste 6e34, Newark, DE 19718 2013-04-20
1114360872 Kalpana Suresh Surgery 4755 Ogletown-stanton Rd., Newark, DE 19718 2013-04-12
1568580769 Ember L. Crevar Pediatrics 4755 Ogletown Stanton Rd., Christiana Care Hospital - Dept. of Pediatrics, Newark, DE 19718 2007-03-26
1336283803 Kevin William Smallwood Physician Assistant 4755 Ogletown-stanton Dr, Suite 1e50, Newark, DE 19718 2007-02-17
1023066404 Samuel G Putnam IIi Radiology 4755 Ogletown Santon Road, Suite 1e20, Newark, DE 19718 2006-05-05
1053374181 Hung Quang Dam Nuclear Medicine Nuclear Medicine, 4755 Ogletown-stanton Rd, Newark, DE 19718 2006-04-10
1346211018 Robert Flinn Internal Medicine 4655 Ogletown-stanton Road, Suite 5343, Newark, DE 19718 2006-01-30
Find all providers in zip 19718

Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932276755 Zafar Jamil Surgery 306 Dr Martin Luther King Jr Blvd, Newark, NJ 07102-2011 2006-11-29
1992818421 Thomas K Evans Surgery 1 Centurian Dr Ste 307, Newark, DE 19713 2006-08-17
1356343586 William H Phillips Surgery 1371 West Main Street, Newark, OH 43055 2005-06-01
1427306240 Delaware Vascular and Vein Center, LLC Surgery 774 Christiana Rd, Suite 109, Newark, DE 19713-4236 2012-08-28
1366716060 Vascular Specialists, P.a. Surgery 1 Centurian Dr, Suite 307, Newark, DE 19713-2137 2012-02-28
1689984940 Asclepius Vascular Services PC Surgery 111 Central Avenue, Newark, NJ 07102 2010-10-20
1083858872 Joe T. Huang Surgery 150 Bergen St, F-102, Newark, NJ 07103-2496 2009-04-24
1043379290 Delaware Vascular Associates P A Surgery 4735 Ogletown Stanton Rd, Medical Arts Pavilion 2 Suite 1208, Newark, DE 19713-2072 2006-12-06
1821101312 Frederic Todd Harad Surgery 4735 Ogletown Stanton Road, Suite 1e20, Newark, DE 19713 2006-08-17
1548373046 Sonya Natalie Tuerff Surgery 774 Christiana Rd, Suite 109, Newark, DE 19713-4236 2006-08-17
Find all providers in NEWARK

Competitor

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City NEWARK
Zip Code 19718

Improve Information

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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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