DR. PHILIP ANDRE' ST. RAYMOND (NPI# 1609971076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609971076 |
| Entity Type | Individual |
| Full Name | DR. PHILIP ANDRE' ST. RAYMOND |
| Credential | MD |
| Practice Address |
1720 Mesquite Ave Suite 100b Lake Havasu City AZ 86403-5602 |
| Mailing Address |
Po Box 1710 Lake Havasu City AZ 86405-1710 |
| Practice Telephone | 9284531800 |
| Practice Fax Number | 9284531625 |
| Mailing Telephone | 9284531800 |
| Mailing Fax Number | 9284531625 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2014-08-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 14335 | AZ | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 0101040640 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
1720 MESQUITE AVE SUITE 100B |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip Code | 86403-5602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952370975 | Theron C Tilgner D O LLC | Orthopaedic Surgery | 1720 Mesquite Ave, Suite 102, Lake Havasu City, AZ 86403-5602 | 2006-03-14 |
| 1538338058 | Fps Medical Center Ltd | Family Medicine | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 | 2008-02-28 |
| 1104982719 | Apex Diagnostic Services, Inc. | Radiology | 1720 Mesquite Ave, Lake Havasu City, AZ 86403-5602 | 2006-12-28 |
| 1871511295 | Jeffrey Jay Carls | Family Medicine | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403 | 2006-07-17 |
| 1639110679 | Saul Alvarez | Respiratory Therapist, Certified | 1720 Mesquite Ave, #201, Lake Havasu City, AZ 86403 | 2006-06-09 |
| 1851338917 | Peter Dux | Emergency Medicine | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 | 2006-05-31 |
| 1104895655 | Margaret B Holmes | Physician Assistant | 1720 Mesquite Ave, Suite 102, Lake Havasu City, AZ 86403-5602 | 2006-03-16 |
| 1497724413 | Theron C Tilgner | Orthopaedic Surgery | 1720 Mesquite Ave, Suite 102, Lake Havasu City, AZ 86403-5602 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104479039 | Liska's Apothecary Shop, Inc. | Assisted Living Facility | 1840 Mesquite Ave., Ste. E, Lake Havasu City, AZ 86403 | 2019-07-19 |
| 1275033227 | Ayad Costy | Pharmacist | 75 North Lake Havasu City, Lake Havasu City, AZ 86403 | 2018-02-16 |
| 1942727250 | Ideal Health Care, L.L.C. | Prosthetic/Orthotic Supplier | 1675 Mesquite Ave Ste A, Lake Havasu City, AZ 86403 | 2017-08-28 |
| 1063965036 | Cerner Health Connections, Inc | Clinic/Center | 89 Civic Center Blvd, Lake Havasu City, AZ 86403 | 2016-07-26 |
| 1447643358 | Lundin Dental PC | Durable Medical Equipment & Medical Supplies | 1741 Mesquite Avenue Ste B 100, Lake Havasu City, AZ 86403 | 2015-03-17 |
| 1912301425 | Arizona Havasu Bdm Pak LLC | Dentist | 1799 North Kiowa Blvd, Unit 109, Lake Havasu, AZ 86403 | 2014-10-13 |
| 1386047850 | Emily E Vona | Nurse Practitioner | 84 Acoma Blvd N Ste 104, Lake Havasu City, AZ 86403 | 2014-09-29 |
| 1750700589 | Thomas Wennergren | Pharmacist | 25 S Lake Havasu Ave, Lake Havasu City, AZ 86403 | 2014-04-09 |
| 1285997460 | Jamie L Lemire | Pharmacist | 1980 Mcculloch Blvd, Lake Havasu City, AZ 86403 | 2012-06-21 |
| 1053694448 | Goodwill of Northern Arizona | Exclusive Provider Organization | 1990 Mcculloch Blvd North, Lake Havasu City, AZ 86403 | 2011-09-22 |
| Find all providers in zip 86403 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629370580 | Philip A St Raymond Md Pllc | Urology | 1972 Mesquite Ave, Lake Havasu City, AZ 86403-5729 | 2010-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245831379 | Thayne R Larson | Urology | 11900 N 102nd St, Scottsdale, AZ 85260-5928 | 2020-11-04 |
| 1386250835 | Urosouth Pllc | Urology | 6369 E Tanque Verde Rd Ste 160, Tucson, AZ 85715-3833 | 2020-09-21 |
| 1689286049 | Urosouth Pllc | Urology | 5240 E Knight Dr Ste 108, Tucson, AZ 85712-2122 | 2020-08-18 |
| 1558824763 | Kyle Scott Garcia | Urology | 1501 N Campbell Ave Rm 5325, Tucson, AZ 85724-0001 | 2019-04-14 |
| 1154886109 | Arizona Institute of Urology Pllc | Urology | 1521 E Tangerine Rd Ste 209, Oro Valley, AZ 85755-6218 | 2019-02-04 |
| 1427513472 | Arizona Institute of Urology Pllc | Urology | 395 N Silverbell Rd Ste 315, Tucson, AZ 85745-2980 | 2019-02-04 |
| 1881159838 | Arizona Institute of Urology Pllc | Urology | 516 E Whitehouse Canyon Rd Ste 160, Green Valley, AZ 85614-0543 | 2019-02-04 |
| 1558879759 | Alliance Oncology of Arizona, LLC | Urology | 2525 E Arizona Biltmore Cir Ste C236, Phoenix, AZ 85016-2130 | 2018-01-22 |
| 1659780583 | Wilfred Morris Potter | Urology | 10801 E. Happy Valley Road, #74, Scottsdale, AZ 85255 | 2014-08-05 |
| 1912327198 | Kris Miguel Cajipe | Urology | 15920 S 48th St Ste 100, Phoenix, AZ 85048-1003 | 2014-04-25 |
| Find all providers with the same taxonomy | ||||
| City | LAKE HAVASU CITY |
| Zip Code | 86403 |
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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.