Provider Demographics
NPI:1366417354
Name:SESSIONS, RAYMOND R (MD)
Entity type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:R
Last Name:SESSIONS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3021 SW 70TH LN
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-5216
Mailing Address - Country:US
Mailing Address - Phone:352-363-8868
Mailing Address - Fax:
Practice Address - Street 1:1601 SW ARCHER RD DEPT OF
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-1135
Practice Address - Country:US
Practice Address - Phone:352-376-1611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME84668207L00000X
TXM0263207L00000X
NH19217207L00000X
GA047836207L00000X
ILTEM-COV19-27684207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX203744201Medicaid
ORP00641952OtherRR MEDICARE
FL015326700Medicaid
OR024178Medicaid
WA8519548Medicaid
ORP00641952OtherRR MEDICARE
OR024178Medicaid
FLIF518ZMedicare PIN
OR142599Medicare PIN