Organization
GARY A. RAYMOND DPM PC
Active
Parent organization
GARY A. RAYMOND, DPM, PC.
Other names
Advanced Regional Center for Ankle and Foot Care, Advanced Regional Center for Orthopedics and Podiatry
Organization subpart
Yes
Provider details
NPI number
Legal business name
GARY A. RAYMOND, DPM, PC.
Authorized official
GARY A RAYMOND DPM, PC (PRESIDENT)
(814) 943-3668
Entity
Organization
Contact information
Practice address
195 MEMORIAL DR STE 6, EVERETT, PA 15537-7056
(814) 310-9052
(814) 942-7635
Mailing address
711 LOGAN BLVD, ALTOONA, PA 16602-4165
(814) 943-3668
(814) 942-7635
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
207XP3100X
Pediatric Orthopaedic Surgery Physician
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
207XX0801X
Orthopaedic Trauma Physician
—
—
213E00000X
Podiatrist
Primary
—
—
213EP1101X
Primary Podiatric Medicine Podiatrist
—
—
213ER0200X
Radiology Podiatrist
—
—
213ES0000X
Sports Medicine Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
213ES0131X
Foot Surgery Podiatrist
—
—
224L00000X
Pedorthist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017818520008
—
PA
Enumeration date
07/09/2019
Last updated
06/20/2023
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