Ronald S Ray (NPI# 1700965118, PAC ID# 1658460324) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST.
| Nation Provider ID (NPI) | 1700965118 |
| PAC ID by PECOS | 1658460324 |
| Professional Enrollment ID | I20071203000601 |
| Full Name | Ronald S Ray |
| Organization Legal Name | TOOLE COUNTY |
| Address |
640 Park Ave Shelby MT 59474-1663 |
| Phone Number | 4064343200 |
| Gender | M |
| Graduation Year | 1991 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
| Group Practice PAC ID | 7719995240 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 271328 | MARIAS MEDICAL CENTER |
| 270051 | KALISPELL REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 640 Park Ave, Shelby, MT 59474-1663 | 4064343200 | TOOLE COUNTY |
| Organization Legal Name | TOOLE COUNTY |
| Physicians | 1 |
| Street Address |
640 PARK AVE |
| City | SHELBY |
| State | MT |
| Zip | 59474-1663 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin Paul Hooker | Podiatry | Marias Healthcare Services Inc | 670 Park Ave, Shelby, MT 59474-1663 |
| Jared H Heimbigner | Diagnostic Radiology | Northwest Imaging, PC | 640 W Park Dr, Marias Medical Center, Shelby, MT 59474-1663 |
| Todd E Gianarelli | Family Medicine | Marias Healthcare Services Inc | 670 Park Ave, Shelby, MT 59474-1663 |
| Joni Walton | Nurse Practitioner | Marias Healthcare Services Inc | 670 Park Ave, Shelby, MT 59474-1663 |
| Nicholas C Cantrell | Diagnostic Radiology | Northwest Imaging, PC | 640 W Park Dr, Marias Medical Center, Shelby, MT 59474-1663 |
| Brooke Elain Dager | Nurse Practitioner | Marias Healthcare Services Inc | 670 Park Ave, Shelby, MT 59474-1663 |
| Jodi L Habets | Nurse Practitioner | Marias Healthcare Services Inc | 670 Park Ave, Shelby, MT 59474-1663 |
| Michael T Henson | Diagnostic Radiology | Northwest Imaging, PC | 640 W Park Dr, Marias Medical Center, Shelby, MT 59474-1663 |
| Katherine Biccum | Family Medicine | Marias Healthcare Services Inc | 670 Park Ave, Shelby, MT 59474-1663 |
| Mechelle Lewis | Internal Medicine | Marias Healthcare Services Inc | 670 Park Ave, Shelby, MT 59474-1663 |
| Find all physicians in zip 59474 | |||
| City | SHELBY |
| Zip Code | 59474 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
| City + Specialty | SHELBY + CERTIFIED REGISTERED NURSE ANESTHETIST |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.