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DR. OTHA RAY RAINS M.D. NPI 1720064009


NPI Information

NPI: 1720064009
Provider Name: DR. OTHA RAY RAINS, M.D.
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual
Address:
11123 S TOWNE SQ
SUITE E
SAINT LOUIS, MO
ZIP 63123
Phone: (314) 487-4537
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DR. Otha Ray Rains, M.D. is an emergency medicine in Saint Louis, MO. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. DR. Otha Ray Rains, M.D. NPI is 1720064009. 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:

11123 S TOWNE SQ
SUITE E
SAINT LOUIS, MO
ZIP 63123-816
Phone: (314) 487-4537

The enumeration date for this NPI number is 12/19/2005 and was last updated on 6/3/2011.


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
1207P00000XEmergency Medicine036-066358ILLINOISNo
2207P00000XEmergency MedicineR3G19MISSOURIYes

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
1A58185MEDICARE UPIN
2132110017MEDICARE PINMISSOURI
3A58185MEDICARE UPINILLINOIS
4205710155MEDICAIDMISSOURI
5953523210MEDICARE PINMISSOURI
6953523211MEDICARE PINMISSOURI
7953523213MEDICARE PINMISSOURI

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.