RAYMOND CHARLES DECESARE D.O. NPI 1841388485

NPI Information

NPI: 1841388485
Provider Name: RAYMOND CHARLES DECESARE, D.O.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
716 DELAWARE AVENUE
PORTLAND, PA
ZIP 18351
Phone: (570) 897-6272
Get Directions

Raymond Charles Decesare, D.O. is a family medicine in Portland, PA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Raymond Charles Decesare, D.O. NPI is 1841388485. 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:

716 DELAWARE AVENUE
PORTLAND, PA
ZIP 18351-358
Phone: (570) 897-6272
Fax: (570) 839-0893

The NPI 1841388485 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 10/10/2006 and was last updated on 7/21/2022.

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	207Q00000X	Family Medicine		OS002690L	PENNSYLVANIA	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	503825	OTHER	PENNSYLVANIA	US HEALTHCARE/AETNA
2	DE041920	OTHER	PENNSYLVANIA	BLUE SHIELD/BLUE CROSS
3	14843	OTHER	PENNSYLVANIA	GEISENGERS

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

NPI Synchronization or Removal

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