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).
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 |
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 |
Street Address |
4755 OGLETOWN STANTON RD STE 1E20 |
City | NEWARK |
State | DE |
Zip Code | 19718-2200 |
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 |
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 Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
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. |
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 |
Please comment or provide details below to improve the information on REID A RAVIN.
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.