Provider Demographics
NPI:1245294362
Name:ALDERFER, RAYMOND J (MD)
Entity type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:J
Last Name:ALDERFER
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 1:110 NEWMAN AVE
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-4004
Mailing Address - Country:US
Mailing Address - Phone:540-442-9900
Mailing Address - Fax:540-442-9901
Practice Address - Street 1:110 NEWMAN AVE
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-4004
Practice Address - Country:US
Practice Address - Phone:540-442-9900
Practice Address - Fax:540-442-9901
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-14
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012253492084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3810004955OtherWV MEDICAID
VA010260124Medicaid
VA10007233OtherOPTIMA
188895OtherANTHEM/BCBS
VAP00315894OtherRAILROAD MEDICARE
VA1000870001OtherDME PROVIDER
VA468100OtherVALUE OPTIONS
VA2088943OtherCIGNA BEHAVIORAL
VA1000870001OtherDME PROVIDER
H30417Medicare UPIN