MR. JOHN ROGER RAY (NPI# 1255326088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255326088 |
| Entity Type | Individual |
| Full Name | MR. JOHN ROGER RAY |
| Credential | D.O. |
| Practice Address |
Rr 103 Supply Street Gary WV 24836-0507 |
| Mailing Address |
Rr 103 Supply Street, Po Box 507 Gary WV 24836-0507 |
| Practice Telephone | 3044482101 |
| Practice Fax Number | 3044483217 |
| Mailing Telephone | 3044482101 |
| Mailing Fax Number | 3044483217 |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2011-04-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 1093 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | STATE TAX DEPARTMENT | 550674700 | 01 |
| WV | BLUE CROSS/BLUE SHIELD | 001720284 | 01 |
| WV | 0071227000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194297648 | John M Ray | Psychologist | 2200 Fort Roots Dr 116b/nlr, North Little Rock, AR 72114-1709 | 2018-12-21 |
| 1164492344 | John Michael Ray | Dentist | 5501 Independence Pkwy Ste 104, Plano, TX 75023-5469 | 2006-01-23 |
| 1346228889 | John D Ray | Orthopaedic Surgery | 2021 Battlecreek Dr, Unit D, Fort Collins, CO 80528-5119 | 2006-01-05 |
| 1134122500 | John M Ray Jr. | Family Medicine | 3625 Cape Center Dr, Fayetteville, NC 28304-4457 | 2005-05-31 |
| 1790079119 | John Christopher Ray | Emergency Medicine | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2011-06-02 |
| 1619101409 | John K Ray | Family Medicine | 2600 N Highway 118, Alpine, TX 79830-2002 | 2009-05-07 |
| 1154597524 | John Ross Ray | Physical Therapist | 1114 W Jackson St, Ozark, MO 65721-9164 | 2008-05-05 |
| 1669522900 | John S Ray | Optometrist | 1210 Driving Park Ave, Newark, NY 14513-1057 | 2007-01-11 |
| 1619042447 | John Joseph Ray | Physician Assistant | 1328 22nd St, Saint John's Er, Santa Monica, CA 90404-2032 | 2006-11-21 |
| 1609985472 | John G. Ray | Audiologist | 1717 S Orange Ave, Suite 100, Orlando, FL 32806-2944 | 2006-08-29 |
| Street Address |
RR 103 SUPPLY STREET |
| City | GARY |
| State | WV |
| Zip Code | 24836-0507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609427350 | Jessica Robin Marcus | Nurse Practitioner | Rr 103 Supply Street, Gary, WV 24836 | 2019-09-24 |
| 1639578065 | Tug River Health Association, Inc. | Clinic/Center | Rr 103 Supply Street, Gary, WV 24836-0507 | 2014-08-21 |
| 1942559364 | Keisha R Saunders | Nurse Practitioner | Rr 103 Supply Street, Gary, WV 24836-0507 | 2012-08-30 |
| 1285989152 | Angela G Mckinney | Nurse Practitioner | Rr 103 Supply Street, Gary, WV 24836-0507 | 2012-07-17 |
| 1164658118 | Joseph Clary Kirkpatrick | General Practice | Rr 103 Supply Street, Gary, WV 24836-0507 | 2009-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730725292 | Tracey L Lester | Family Medicine | 103 Supply Street, Gary, WV 24836 | 2019-11-20 |
| 1912556507 | Tamera Beth Ball | Nurse Practitioner | 150 Venus Drive, Gary, WV 24836 | 2019-09-06 |
| 1366674541 | Veronica Marie Brown | Dentist | Rt. 103 Supply Street, Gary, WV 24836 | 2009-08-20 |
| 1558528554 | Cristie D Hatfield | Dental Hygienist | Route 103 Supply St, Gary, WV 24836 | 2008-05-19 |
| 1548382435 | Tug River Health Association | Clinic/Center | Rt 103 Supply St, Gary, WV 24836 | 2007-04-04 |
| 1407922891 | Tug River Health Association, Inc | Clinic/Center | Us Route 103 Supply St, Gary, WV 24836 | 2006-11-28 |
| 1922184266 | Tug River Health Association, Inc | Clinic/Center | Route 103 Supply St., Gary, WV 24836 | 2006-10-30 |
| 1992887392 | John W Balaban | Dentist | Route 103, Supply St, Gary, WV 24836 | 2006-10-19 |
| 1245286137 | David R Carr | Family Medicine | Route 103 Supply Street, Gary, WV 24836 | 2006-05-25 |
| 1174501068 | Tug River Health Association, Inc | Clinic/Center | Us Rt 52 Main Street, Gary, WV 24836 | 2006-01-03 |
| Find all providers in zip 24836 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730725292 | Tracey L Lester | Family Medicine | 103 Supply Street, Gary, WV 24836 | 2019-11-20 |
| 1811209398 | Mona Kaufman Stern | Family Medicine | 7535 E. Harold Ave, Gary, IN 46403-2146 | 2010-07-13 |
| 1356476287 | Chube Medical Corporation | Family Medicine | 1701 Broadway, Gary, IN 46407 | 2007-02-22 |
| 1245286137 | David R Carr | Family Medicine | Route 103 Supply Street, Gary, WV 24836 | 2006-05-25 |
| 1902851330 | Okolocha Medical Corp. | Family Medicine | 2054 Grant St, Gary, IN 46404-3060 | 2006-05-24 |
| 1417942707 | Nathaniel T Ross | Family Medicine | 1619 W 5th Ave, Gary, IN 46404-1506 | 2005-09-13 |
| 1396730644 | David E Ross Jr. | Family Medicine | 1619 W 5th Avenue, Gary, IN 46404-1506 | 2005-09-13 |
| 1801894076 | Teofilo S Bautista | Family Medicine | 642 S Lake St, Gary, IN 46403-2967 | 2005-07-12 |
| 1902809379 | Ram C Gupta | Family Medicine | 2269 W 25th Ave, Gary, IN 46404-3367 | 2005-05-31 |
| 1174030605 | Chube2 Primary Care LLC | Family Medicine | 600 Grant St, Gary, IN 46402-6001 | 2018-01-05 |
| Find all providers in GARY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.