DR. BLAKE STEPHEN RAGGIO (NPI# 1497174189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497174189 |
| Entity Type | Individual |
| Full Name | DR. BLAKE STEPHEN RAGGIO |
| Credential | MD |
| Practice Address |
1111 Olive St Montgomery AL 36106-1129 |
| Mailing Address |
1722 Pine St Ste 203 Montgomery AL 36106-1158 |
| Practice Telephone | 3348347221 |
| Practice Fax Number | 3342419848 |
| Mailing Telephone | 3342938736 |
| Mailing Fax Number | 3342938738 |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2020-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
MD.40981 | AL | Allopathic & Osteopathic Physicians |
| Street Address |
1111 OLIVE ST |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36106-1129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336143999 | Susan W Aguiar | Otolaryngology | 1111 Olive St, Montgomery, AL 36106-1129 | 2005-06-10 |
| 1720599012 | Jackson Hospital & Clinic, Inc. | Otolaryngology | 1111 Olive St, Montgomery, AL 36106-1129 | 2017-10-13 |
| 1831407964 | Ezmina Kara Lalani | Internal Medicine | 1111 Olive St, Montgomery, AL 36106-1129 | 2010-09-23 |
| 1164411963 | Andrew Hunter Ford | Otolaryngology | 1111 Olive St, Montgomery, AL 36106 | 2005-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747205 | Rural Urgent Care LLC | Clinic/Center | 3039 Vaughn Road, Montgomery, AL 36106 | 2020-07-16 |
| 1548733306 | Bennett Family Dentistry, LLC | Dentist | 4270 Carmichael Road, Montgomery, AL 36106 | 2019-01-04 |
| 1588133854 | Lori Leanne Fail | Physical Therapist | 1615 Windsor Hill Court, Montgomery, AL 36106 | 2018-11-16 |
| 1073020749 | Charlene Richmond Harrell | Chiropractor | 2900 Zelda Rd., Suite A, Montgomery, AL 36106 | 2018-01-03 |
| 1780123109 | Montgomery Accident and Injury Center, Inc | Nurse Practitioner | 2900 Zelda Rd, Ste B, Montgomery, AL 36106 | 2017-02-17 |
| 1467843573 | Ernest Porterfield | Non-emergency Medical Transport (VAN) | 4183 Carmichael Road, Suite A, Montgomery, AL 36106 | 2015-02-11 |
| 1114334281 | Daniel Gerald O'bryant | Specialist/Technologist | 1160 Navarro Avenue, Montgomery, AL 36106 | 2014-07-21 |
| 1801213764 | Amanda Hodge | Specialist/Technologist | 4605 Cherry Tree Terrace, Montgomery, AL 36106 | 2014-03-27 |
| 1871861542 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1758 Park Pl Ste 102, Montgomery, AL 36106 | 2011-12-08 |
| 1578862546 | Helping Hands Preventitive Health Center | Community/Behavioral Health | 2015 Mulberry St, Montgomery, AL 36106 | 2011-03-16 |
| Find all providers in zip 36106 | ||||
| Taxonomy Code | 207YX0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Plastic Surgery within the Head & Neck |
| An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477911816 | Harishanker Jeyarajan | Otolaryngology | 951 18th St S, Apt 279, Birmingham, AL 35205-3756 | 2016-01-31 |
| 1023077781 | John Oscar Brown | Otolaryngology | 1460 1st Ave Sw, Jacksonville, AL 36265-3329 | 2006-03-21 |
| 1013483932 | Yula A Indeyeva Md LLC | Otolaryngology | 350 Cypress Bend Blvd, Gulf Shores, AL 36542-2773 | 2018-10-18 |
| 1467628818 | Mccool & Bhuta Ear Nose and Throat Specialists | Otolaryngology | 3055 Independence Dr, Birmingham, AL 35209-4167 | 2008-05-06 |
| City | MONTGOMERY |
| Zip Code | 36106 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.