Provider Demographics
NPI:1831181759
Name:RAYFIELD, EDITH M (MD)
Entity type:Individual
Prefix:DR
First Name:EDITH
Middle Name:M
Last Name:RAYFIELD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6400 MARLBORO PIKE
Mailing Address - Street 2:
Mailing Address - City:DISTRICT HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20747-2841
Mailing Address - Country:US
Mailing Address - Phone:301-736-7000
Mailing Address - Fax:
Practice Address - Street 1:6400 MARLBORO PIKE
Practice Address - Street 2:
Practice Address - City:DISTRICT HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20747-2841
Practice Address - Country:US
Practice Address - Phone:301-736-7000
Practice Address - Fax:301-736-6916
Is Sole Proprietor?:No
Enumeration Date:2005-08-17
Last Update Date:2016-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0062925207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD646666-01OtherCAREFIRST MD RENDERING
MD8145090OtherMAMSI PRIMARY CARE
MDP00288449OtherRR MEDICARE
MD408575200Medicaid
MD2013307OtherCIGNA PIN
MDP16845OtherCAREFIRST MPOS
I40194Medicare UPIN
MD103512OtherJHHC PROVIDER NUMBER
MD7605-0076OtherCAREFIRST BLUECHOICE
MD226LM211Medicare PIN
MD2145090OtherMAMSI SPECIALIST
MD7519713OtherAETNA FEE FOR SERVICE
MD3985705OtherAETNA CAPITATED