Provider Demographics
NPI:1013085224
Name:RAHMING, WAYNE ANTHONY (MD)
Entity Type:Individual
Prefix:DR
First Name:WAYNE
Middle Name:ANTHONY
Last Name:RAHMING
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 1:105 NE 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:HIGH SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32643-4303
Mailing Address - Country:US
Mailing Address - Phone:386-454-4009
Mailing Address - Fax:
Practice Address - Street 1:105 NE 1ST AVE
Practice Address - Street 2:
Practice Address - City:HIGH SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32643-4303
Practice Address - Country:US
Practice Address - Phone:386-454-4009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0039082207P00000X, 207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL266698OtherAVMED
FL47520OtherBCBS FL
FL47520OtherBCBS FL
FL266698OtherAVMED