RAYMOND CHARLES KAISER (NPI# 1871579318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871579318 |
| Entity Type | Individual |
| Full Name | RAYMOND CHARLES KAISER |
| Credential | PA |
| Practice Address |
256 N Main St Manchester CT 06042-2004 |
| Mailing Address |
Po Box 1086 Hartford Medical Group Wilbraham MA 01095-7086 |
| Practice Telephone | 8606468595 |
| Practice Fax Number | 8606453216 |
| Mailing Telephone | 5085950531 |
| Mailing Fax Number | 5088295367 |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2012-04-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 000765 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
000765 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
256 N MAIN ST |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06042-2004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770864746 | Patricia Hall | Nurse Practitioner | 256 N Main St, Manchester, CT 06042-2004 | 2011-09-06 |
| 1215233853 | Bernadette Margaret Quinn | Nurse Practitioner | 256 N Main St, Manchester, CT 06042-2004 | 2011-01-30 |
| 1407823966 | Richard H. Harding | Internal Medicine | 256 N Main St, Manchester, CT 06042-2004 | 2006-03-03 |
| 1811973332 | David Wolpaw | Family Medicine | 256 N Main St, Manchester, CT 06042-2004 | 2005-12-16 |
| 1316923857 | Frank E Goldberg | Internal Medicine | 256 N Main St, Manchester, CT 06042-2004 | 2005-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275000960 | Nicole Berger | Behavioral Analyst | 199 Tudor Lane, Apartment E, Manchester, CT 06042 | 2018-10-31 |
| 1902336522 | Karen Scandura | Pharmacist | 260 North Main Street, Manchester, CT 06042 | 2017-06-15 |
| 1053727479 | Sph3enterprise, LLC | Dentist | 194 Buckland Hills Drive, Manchester, CT 06042 | 2014-07-07 |
| 1962657288 | Anthony Michael Gioscia | Optometrist | 344v Buckland Hills Dr, Manchester, CT 06042 | 2008-12-01 |
| 1467635714 | Linda Fernald Gates | Dietitian, Registered | 300 Parker St, Manchester, CT 06042 | 2007-12-10 |
| 1669513909 | Carlos Alfonso Gonzalez | Psychiatry & Neurology | 317 North Main Street, C/o Ccgc, Manchester, CT 06042 | 2007-02-09 |
| 1942350467 | Lise G. O'neill | Counselor | Manchester Memorial Hospital, 71 Haynes St, Manchester, CT 06042 | 2007-01-10 |
| 1558439398 | Jason Allen Sousa | Chiropractor | 1127 Tolland Turnpike, Suite 102, Manchester, CO 06042 | 2006-12-01 |
| 1245332444 | Sharon Soria | Dentist | 192 Main Street, Manchester, TN 06042 | 2006-09-01 |
| 1699732206 | First Choice Health Centers, Inc. | Clinic/Center | 150 N Main St Ste 240, Manchester, CT 06042 | 2006-04-27 |
| Find all providers in zip 06042 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356729487 | Kelsey Wood | Physician Assistant | 574 Middle Turnpike East, Kelsey Wood, Manchester, CT 06040-3730 | 2015-05-08 |
| 1841626678 | Evan Patrick Dyer | Physician Assistant | 1415 Hillsboro Blvd Ste 106, Manchester, TN 37355-2599 | 2013-09-25 |
| 1528313350 | Stephanie Elaine Fangman | Physician Assistant | 709 W Main St Ste 3, Manchester, IA 52057-1526 | 2012-07-18 |
| 1932351673 | Michael Anthony Ascenzia | Physician Assistant | 360 Tolland Tpke Ste 1a, Manchester, CT 06042-1759 | 2008-10-14 |
| 1780747519 | Wendy Brown Jorgensen | Physician Assistant | 1053 Western Avenue, Manchester, ME 04351 | 2006-12-19 |
| 1770694945 | Briana Marie Peterson | Physician Assistant | 574 E Middle Tpke, Manchester, CT 06040-3730 | 2006-08-31 |
| 1245249010 | Holly Pelletier | Physician Assistant | 57 Webster St Ste 110, Manchester, NH 03104-2552 | 2006-08-07 |
| 1558396192 | Nancy E. Kalinski | Physician Assistant | 102 Bay St, Manchester, NH 03104-3008 | 2006-07-12 |
| 1790787323 | Paul Barlow | Physician Assistant | 1 Highlander Way Ste 4, Manchester, NH 03103-7404 | 2005-08-12 |
| 1669030177 | Alexis Deitz | Physician Assistant | 574 Middle Tpke E, Manchester, CT 06040-3730 | 2019-05-30 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 06042 |
Please comment or provide details below to improve the information on RAYMOND CHARLES KAISER.
| 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.