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NPI · 1083673115 · NPPES-sourced

Dr. Jack Raisanen MD

ActiveNeuropathology Physician
NPI Number
1083673115
Type 1 · Individual
Taxonomy Code
207ZN0500X
Contact
(214) 648-1620
License TX · L1177
Last Updated
About 18 years ago (Dec 2007)
Enumerated 2006-03-18
Primary practice addressTX · 75390-7208
5323 Harry Hines BlvdDallas, TX 75390-7208
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About this NPIWhat this record shows.

NPI 1083673115 is registered to Dr. Jack Raisanen MD, a Neuropathology Physician practising at 5323 Harry Hines Blvd in Dallas, Texas. Neuropathology Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Dr. Jack Raisanen MD has been enumerated in the National Provider Identifier (NPI) registry since 2006.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2006-03-18
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dr. Jack Raisanen MD accepts. To confirm in-network status with your specific health plan, contact Dr. Jack Raisanen MD directly at (214) 648-1620.

Frequently asked

Yes. NPI 1083673115 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Neuropathology Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (214) 648-1620.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dr. Jack Raisanen MD is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy207ZN0500X
Last updated2007-12
Enumerated2006-03-18
StatusActive
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7 records · same addressOther providers at this location.

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Same specialtyOther Neuropathology Physician providers in Texas.

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