Individual
ANTHONY JAY RAIMONDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2213 CHERRY ST STE ACC 200, TOLEDO, OH 43608-2603
(419) 251-4283
(419) 251-0814
Mailing address
2213 CHERRY ST STE ACC 200, TOLEDO, OH 43608-2603
(419) 251-4283
(419) 251-0814
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35-058176
OH
2086S0102X
Surgical Critical Care Physician
Primary
35.058176
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000315352
ANTHEM
OH
01
—
000000502923
ANTHEM
—
01
—
00408879
RAILROAD MEDICARE
OH
01
—
01343
PARAMOUNT
—
05
—
0823309
—
OH
01
—
34-1742589
SUMMA
—
01
—
4569518
AETNA
—
01
—
4966028
MICHIGAN MEDICAID
MI
01
—
6683114
CIGNA
—
01
—
732320
BUCKEYE COMMUNITY HEALTH PLAN
—
Enumeration date
07/29/2005
Last updated
09/27/2019
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