# GARY A RAYMOND, DPM PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced Regional Center for Orthopedics and Podiatry, ADVANCED REGIONAL CENTER FOR ANKLE AND FOOT CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568400521
- **Authorized official:** DR. GARY A RAYMOND D.P.M. (PRESIDENT)
- **Authorized official phone:** (814) 943-3668

## Contact information

- **Practice address:** 711 LOGAN AVE, ALTOONA, PA 16602-4831
- **Practice address phone:** (814) 943-3668
- **Practice address fax:** (814) 942-7635
- **Mailing address:** 711 LOGAN AVE, ALTOONA, PA 16602-4831
- **Mailing address phone:** (814) 943-3668
- **Mailing address fax:** (814) 942-7635

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 207XS0114X | Adult Reconstructive Orthopaedic Surgery Physician | — | NULL | — |
| 207XS0114X | Adult Reconstructive Orthopaedic Surgery Physician | — | — | — |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | — | NULL | — |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | — | — | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | NULL | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | — | — |
| 207XX0801X | Orthopaedic Trauma Physician | — | NULL | — |
| 207XX0801X | Orthopaedic Trauma Physician | — | — | — |
| 213E00000X | Podiatrist | SC002487L | PA | — |
| 213E00000X | Podiatrist | — | NULL | Yes |
| 213E00000X | Podiatrist | — | — | Yes |
| 213EP1101X | Primary Podiatric Medicine Podiatrist | — | NULL | — |
| 213EP1101X | Primary Podiatric Medicine Podiatrist | — | — | — |
| 213ES0000X | Sports Medicine Podiatrist | — | NULL | — |
| 213ES0000X | Sports Medicine Podiatrist | — | — | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | — |
| 213ES0131X | Foot Surgery Podiatrist | — | NULL | — |
| 213ES0131X | Foot Surgery Podiatrist | — | — | — |
| 222Z00000X | Orthotist | — | NULL | — |
| 222Z00000X | Orthotist | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363AM0700X | Medical Physician Assistant | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | — | — |
| 363AS0400X | Surgical Physician Assistant | — | NULL | — |
| 363AS0400X | Surgical Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 06/03/2006
- **Last updated:** 06/20/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0017818520008 | — | PA |