DR. STEPHEN C RAYNOR MD NPI 1104876507

NPI Information

NPI: 1104876507
Provider Name: DR. STEPHEN C RAYNOR, MD
Classification: Surgery - 2086S0120X
Entity Type: Individual

Specialization: Pediatric Surgery

Organization: FATHER FLANAGANS BOYS HOME

PECOS Registration: Yes

Address:
CHILDREN'S HOSPITAL - PEDIATRIC SURGERY
8200 DODGE STREET
OMAHA, NE
ZIP 68114
Phone: (402) 955-7400
Get Directions

DR. Stephen C Raynor, MD is a pediatric surgery surgery in Omaha, NE with 43 years of experience. 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.

Education
Medical School: UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduation Year:1981

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 Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), 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
1	2086S0120X	Surgery	Pediatric Surgery	16699	NEBRASKA	Yes

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
1	17-00016	OTHER		UHC
2	01204	OTHER	NEBRASKA	BCBS
3	4082052	OTHER		AETNA
4	580	OTHER		MIDLANDS CHOICE
5	2946772	MEDICAID	IOWA
6	269802	OTHER		COVENTRY
7	E29264	MEDICARE UPIN	NEBRASKA

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: 11/14/2023

NPI Synchronization or Removal

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