DR. PHILIP RUFUS RAIFORD M.D. NPI 1962487983

NPI Information

NPI: 1962487983
Provider Name: DR. PHILIP RUFUS RAIFORD, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
45 GREEN HOLLOW RD
DANIELSON, CT
ZIP 06239
Phone: (860) 774-1255
Get Directions

DR. Philip Rufus Raiford, M.D. is a family medicine in Danielson, CT. 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. DR. Philip Rufus Raiford, M.D. NPI is 1962487983. 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:

45 GREEN HOLLOW RD
DANIELSON, CT
ZIP 06239-509
Phone: (860) 774-1255
Fax: (860) 779-2059

The NPI 1962487983 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 12/13/2005 and was last updated on 1/25/2008.

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		031486	CONNECTICUT	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
1	080001027	MEDICARE ID-TYPE UNSPECIFIED	CONNECTICUT
2	E88868	MEDICARE UPIN	CONNECTICUT
3	001314864	MEDICAID	CONNECTICUT

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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