JASON RICHARD WRAY (NPI# 1932268380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932268380 |
Entity Type | Individual |
Full Name | JASON RICHARD WRAY |
Credential | PA |
Practice Address |
100 N Nine Mound Rd Verona WI 53593-1032 |
Mailing Address |
7974 Uw Health Ct Middleton WI 53562-5531 |
Practice Telephone | 6088459531 |
Practice Fax Number | 6088335039 |
Enumeration Date | 2006-12-08 |
Last Update Date | 2014-10-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
3296-23 | WI | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023470887 | Jason Maurice Wray II | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2016-03-22 |
Street Address |
100 N NINE MOUND RD |
City | VERONA |
State | WI |
Zip Code | 53593-1032 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457310591 | Heidi Stokes | Physician Assistant | 100 N Nine Mound Rd, Verona, WI 53593-1032 | 2006-03-18 |
1437765237 | Lori Anne Klein | Marriage & Family Therapist | 100 N Nine Mound Rd, Verona, WI 53593-1032 | 2020-09-17 |
1184253775 | Melissa Ricker | Student in an Organized Health Care Education/Training Program | 100 N Nine Mound Rd, Verona, WI 53593-1032 | 2020-04-06 |
1013546910 | Eartha Taylor | Student in an Organized Health Care Education/Training Program | 100 N Nine Mound Rd, Verona, WI 53593-1032 | 2020-04-03 |
1134758097 | Nathan Gorman | Student in an Organized Health Care Education/Training Program | 100 N Nine Mound Rd, Verona, WI 53593-1032 | 2020-04-03 |
1053940049 | Adam Cordum | Student in an Organized Health Care Education/Training Program | 100 N Nine Mound Rd, Verona, WI 53593-1032 | 2020-04-02 |
1154883932 | Danielle E Hartwig | Student in an Organized Health Care Education/Training Program | 100 N Nine Mound Rd, Verona, WI 53593-1032 | 2019-04-02 |
1326500117 | Andrew J Sheehan | Student in an Organized Health Care Education/Training Program | 100 N Nine Mound Rd, Verona, WI 53593-1032 | 2019-04-02 |
1578025367 | Gregory J Starsiak | Student in an Organized Health Care Education/Training Program | 100 N Nine Mound Rd, Verona, WI 53593-1032 | 2019-04-02 |
1730641523 | Thomas J Ridella | Student in an Organized Health Care Education/Training Program | 100 N Nine Mound Rd, Verona, WI 53593-1032 | 2019-04-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609385467 | Tracy D. Pollack | Physical Therapist | 1049 North Edge Trail, Verona, WI 53593 | 2017-09-25 |
1851748115 | Jonna L Bier | Physical Therapy Assistant | 1049 N. Edge Trail, Verona, WI 53593 | 2016-05-17 |
1730451162 | Ultimate Performance Therapy, LLC | Physical Therapist | 403 Venture Ct, Suite 2, Verona, WI 53593 | 2012-02-01 |
1417246372 | Hammes Family Chiropractic LLC | Chiropractor | 1029 North Edge Trail, Verona, WI 53593 | 2011-03-31 |
1457678120 | Danielle Marie Waite | Licensed Practical Nurse | 606 Green Meadow Dr., Verona, WI 53593 | 2010-04-21 |
1316113418 | Linda T Hofstetter | Occupational Therapist | 720 Arbor Vitae Pl, Verona, WI 53593 | 2008-05-08 |
1902070758 | Judith F. Koeppl | Counselor | 4123 Monona Drive, Madison, WI 53593 | 2008-04-14 |
1881885408 | Carolyn J Moynihan | Marriage & Family Therapist | 8283 N Riley Rd, Verona, WI 53593 | 2007-08-08 |
1194810515 | Selma Herbst | Social Worker | 3657 Vickiann St, Verona, WI 53593 | 2006-10-03 |
1295830529 | Daniel Joseph Wadzinski | Dentist | 109 East Verona Avenue, Verona, WI 53593 | 2006-09-13 |
Find all providers in zip 53593 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013948637 | Monica Agnes Davis | Physician Assistant | 5547 W Main St, Verona, NY 13478-3426 | 2006-07-05 |
1558325449 | Janice Cooney | Physician Assistant | 305 Birchwood Ln, Verona, WI 53593-8355 | 2006-04-17 |
1457310591 | Heidi Stokes | Physician Assistant | 100 N Nine Mound Rd, Verona, WI 53593-1032 | 2006-03-18 |
1871007955 | Kristina Conklin | Physician Assistant | 271 Grove Ave Ste A, Verona, NJ 07044-1731 | 2017-11-28 |
1164933149 | Anthony J. Piccolo | Physician Assistant | 197 Bloomfield Ave, Verona, NJ 07044-2702 | 2017-10-18 |
1558606954 | Colleen Snyder | Physician Assistant | 50 Pompton Ave, Verona, NJ 07044-2917 | 2012-12-11 |
1457538951 | Anita Fox | Physician Assistant | 60 Pompton Ave, Verona, NJ 07044-2946 | 2008-01-28 |
1932397155 | Alyse N Stern | Physician Assistant | 271 Grove Ave, Verona, NJ 07044-1730 | 2007-10-12 |
1417156191 | Shari Ashton | Physician Assistant | 60 Pompton Ave, Verona, NJ 07044-2946 | 2007-07-13 |
1962613539 | Janet M Worobel | Physician Assistant | 60 Pompton Ave, Verona, NJ 07044-2946 | 2007-05-25 |
Find all providers in VERONA |
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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.