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SUSAN C. RAYNE M.D. NPI 1164404208


NPI Information

NPI: 1164404208
Provider Name: SUSAN C. RAYNE, M.D.
Classification: Pathology - 207ZP0102X
Entity Type: Individual

Specialization: Anatomic Pathology & Clinical Pathology

PECOS Registration: Yes

Address:
11133 DUNN RD
DEPT. OF PATHOLOGY
SAINT LOUIS, MO
ZIP 63136
Phone: (314) 653-5630
Get Directions

Susan C. Rayne, M.D. is an anatomic pathology and clinical pathology pathology in Saint Louis, MO with 37 years of experience. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. Susan C. Rayne, M.D. NPI is 1164404208. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1987

The provider's business location address is:

11133 DUNN RD
DEPT. OF PATHOLOGY
SAINT LOUIS, MO
ZIP 63136-119
Phone: (314) 653-5630
Fax: (314) 653-4099

The NPI 1164404208 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 11/15/2005 and was last updated on 8/7/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ZC0500XPathologyCytopathology100275MISSOURINo
2207ZP0102XPathologyAnatomic Pathology & Clinical Pathology100275MISSOURIYes
3207ZC0500XPathologyCytopathologyILLINOISNo
4207ZP0102XPathologyAnatomic Pathology & Clinical PathologyILLINOISNo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F28120MEDICARE UPIN

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: 4/28/2024

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