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MR. JOHN ROGER RAY D.O. NPI 1255326088


NPI Information

NPI: 1255326088
Provider Name: MR. JOHN ROGER RAY, D.O.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
RR 103 SUPPLY STREET
GARY, WV
ZIP 24836
Phone: (304) 448-2101
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MR. John Roger Ray, D.O. is a family medicine in Gary, WV. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MR. John Roger Ray, D.O. NPI is 1255326088. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

RR 103 SUPPLY STREET
GARY, WV
ZIP 24836-507
Phone: (304) 448-2101
Fax: (304) 448-3217

The enumeration date for this NPI number is 9/19/2005 and was last updated on 4/21/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine1093WEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1001720284OTHERWEST VIRGINIABLUE CROSS/BLUE SHIELD
2E05905MEDICARE UPINWEST VIRGINIA
32034772MEDICARE PINWEST VIRGINIA
40601332MEDICARE ID-TYPE UNSPECIFIEDWEST VIRGINIA
52034771MEDICARE PINWEST VIRGINIA
6550674700OTHERWEST VIRGINIASTATE TAX DEPARTMENT
70071227000MEDICAIDWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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