Individual provider Active NPI

Michael Scott Wray, DO

  • Emergency Medicine Physician
  • Owensboro, KY
National Provider Identifier
1003376930
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
05239 Issued in KY
Practice address
1201 Pleasant Valley Rd
Owensboro, KY 42303-9811
Phone
(270) 417-2000
NPI assigned
Mar 25, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4378 TN
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 05239 KY Primary

Addresses

Primary practice location

1201 Pleasant Valley Rd
Owensboro, KY 42303-9811

Mailing address

1201 Pleasant Valley Rd
Owensboro, KY 42303-9811
Phone (270) 417-2000

Other practice location 1

University Of Tennessee 920 Madison Avenue Suite 447
Memphis, TN 38163-0001
Phone (615) 396-6449

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mwray117450@direct.owensborohealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210713002627 TN Practitioner - Emergency Medicine 6305189093 Reassigns benefits to 1 organization
I20221012000688 KY Practitioner - Emergency Medicine 6305189093 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
05239KYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Middle Tennessee Emergency Physicians PC Emergency Medicine CurrentSince Jul 1, 2021 Accepting new patients
Owensboro Health Medical Group, Inc CurrentSince Aug 1, 2022 Accepting new patients
Owensboro Health Medical Group Inc Current Accepting new patients
Owensboro Health Medical Group Inc CurrentSince Aug 1, 2022 Accepting new patients
Saint Thomas Medical Partners Past Accepting new patients

Locations

2211 Mayfair Dr
Ste 101
Owensboro, KY 42301
Phone (270) 688-1352

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000

1224 Trotwood Ave
Columbia, TN 38401
Phone (931) 380-4072

1080 N Ellington Pkwy
Lewisburg, TN 37091
Phone (615) 359-6241

1559 Sparta St
McMinnville, TN 37110
Phone (615) 406-9544

5127 Veterans Pkwy
Murfreesboro, TN 37128
Phone (615) 396-4100

1700 Medical Center Pkwy
Murfreesboro, TN 37129
Phone (615) 396-4100

2000 Church St
Nashville, TN 37236
Phone (615) 284-4672

4220 Harding Pike
Nashville, TN 37205
Phone (615) 222-2111

520 W Main St
Smithville, TN 37166
Phone (615) 215-5000

401 Sewell Dr
Sparta, TN 38583
Phone (931) 738-2164

324 Doolittle Rd
Woodbury, TN 37190
Phone (615) 563-4001

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1003376930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 PLEASANT VALLEY RD",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423039811",
            "telephone_number": "270-417-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 PLEASANT VALLEY RD",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423039811",
            "telephone_number": "270-417-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "University Of Tennessee 920 Madison Avenue Suite 447",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381630001",
            "country_code": "US",
            "telephone_number": "615-396-6449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRAY",
        "first_name": "MICHAEL",
        "middle_name": "SCOTT",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "4378",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "05239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mwray117450@direct.owensborohealth.org",
            "affiliation": "N",
            "address_1": "1201 Pleasant Valley Rd",
            "city": "Owensboro",
            "state": "KY",
            "country_code": "US",
            "postal_code": "423039811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.