Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 34.010622 | OH |
N | 207RC0000X | Internist - Cardiovascular Disease | 34.010622 | OH |
NPI | 1760707319 |
---|---|
Provider Name | Timothy Earl Raymond |
First Address | Cleveland, OH 44195-0001 |
Second Address | Ft Wright, KY 41011 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2010 |
Last Update Date | 21/12/2020 |