RAYNOLD DEPESTRE (NPI# 1831291285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831291285 |
| Entity Type | Individual |
| Full Name | RAYNOLD DEPESTRE |
| Credential | MD |
| Practice Address |
3704 Lanamer Rd Randallstown MD 21133-1517 |
| Mailing Address |
3704 Lanamer Rd Randallstown MD 21133 |
| Practice Telephone | 4102655400 |
| Practice Fax Number | 4102983917 |
| Mailing Telephone | 4106554946 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2019-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | D27157 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 484691500 | 05 |
| Street Address |
3704 LANAMER RD |
| City | RANDALLSTOWN |
| State | MD |
| Zip Code | 21133-1517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649898313 | Olivia David | Registered Nurse | 3525 Liberty Resource Drive, Randallstown, MD 21133 | 2020-07-09 |
| 1366082547 | Jerry Njomgert Christopher | Home Health Aide | 9106 Sandra Ct. Randallstown, Randallstown, MD 21133 | 2020-01-15 |
| 1487138913 | For Hope's Sake, LLC | Substance Abuse Rehabilitation Facility | 9905 Southhall Road, Randallstown, MD 21133 | 2018-09-20 |
| 1295214393 | Levindale Hebrew Geriatric Center & Hospital Inc | Clinic/Center | Lifebridge Health Adult Day Services, 5400 Old Court Road, Randallstown, MD 21133 | 2018-08-09 |
| 1235623968 | Away of Change Counseling Service, LLC | Counselor | 5310 Old Court Rd Ste 304, Randallstown, MD 21133 | 2018-06-16 |
| 1922503382 | Top Care Residential Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8607 Liberty Rd, Randallstown, MD 21133 | 2018-03-28 |
| 1497274880 | Yushika M Shepherd | In Home Supportive Care | 8911 Allenswood Rd, Randallstown, MD 21133 | 2017-09-17 |
| 1790208718 | Productive Lives Mental Health, LLC | Clinic/Center | Randallstown Medical Center 5310 Old Court Rd Suite 308, Randallstown, MD 21133 | 2017-07-21 |
| 1982136198 | Marla Rosanne Yee | Dentist | 5415 Old Court Road, Suite 01, Randallstown, MD 21133 | 2017-03-28 |
| 1598203549 | Traci Harris | Social Worker | 9633 Liberty Rd. (suites H&j), Randallstown, MD 21133 | 2017-02-09 |
| Find all providers in zip 21133 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124208129 | Avverahalli Harish Md Pa | Internal Medicine | 5310 Old Court Road Suite 303, Randallstown, MD 21133-6202 | 2007-11-07 |
| 1427247196 | K S Rao Md Pa | Internal Medicine | 5400 Old Court Rd Ste 108, Randallstown, MD 21133-5125 | 2007-10-18 |
| 1194916692 | Alan Lefkowitz, M.d. | Internal Medicine | 5400 Old Court Rd Ste 205, Randallstown, MD 21133-5126 | 2007-08-08 |
| 1366579161 | Trung Hoa Pham, Md, LLC | Internal Medicine | 5415 Old Court Rd Ste 102, Randallstown, MD 21133-5103 | 2007-02-27 |
| 1952446601 | Mohammed G Kiddugavu | Internal Medicine | 5415 Old Court Rd 101, Randallstown, MD 21133-5172 | 2007-02-20 |
| 1184799066 | Ambalavanan Balasubramanian | Internal Medicine | 5311 Old Court Rd, Randallstown, MD 21133-5241 | 2006-11-23 |
| 1942305891 | John Richard Steinberg | Internal Medicine | 3944 Carthage Rd, Randallstown, MD 21133-4517 | 2006-09-14 |
| 1316945652 | Elvira Pasmanik | Internal Medicine | 5400 Old Court Rd, Suite 204, Randallstown, MD 21133-5100 | 2005-07-11 |
| 1548793961 | Sara Mehrsefat | Internal Medicine | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2017-04-04 |
| 1669913851 | Felicia M. Austin | Internal Medicine | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2017-03-20 |
| Find all providers in RANDALLSTOWN | ||||
| City | RANDALLSTOWN |
| Zip Code | 21133 |
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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.