DR. STEPHEN C RAYNOR MD NPI 1104876507

NPI Information

  • NPI: 1104876507
  • Provider Name: DR. STEPHEN C RAYNOR, MD
  • Classification: Surgery - 2086S0120X
  • Specialization: Pediatric Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: CHILDREN'S HOSPITAL - PEDIATRIC SURGERY
    8200 DODGE STREET
    OMAHA, NE
    ZIP 68114
  • Phone: (402) 955-7400

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NPI Details

DR. Stephen C Raynor, MD is a pediatric surgery surgery in Omaha, NE. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. DR. Stephen C Raynor, MD NPI is 1104876507. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

CHILDREN'S HOSPITAL - PEDIATRIC SURGERY
8200 DODGE STREET
OMAHA, NE
ZIP 68114-113
Phone: (402) 955-7400
Fax: (402) 955-7405

The NPI 1104876507 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 5/10/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0120XSurgeryPediatric Surgery16699NEBRASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
117-00016OTHERUHC
201204OTHERNEBRASKABCBS
34082052OTHERAETNA
4580OTHERMIDLANDS CHOICE
52946772MEDICAIDIOWA
6269802OTHERCOVENTRY
7E29264MEDICARE UPINNEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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