Active NPI
Michael Scott Wray, DO
- Emergency Medicine Physician
- Owensboro, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 05239
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mwray117450@direct.owensborohealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 05239 | KY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Middle Tennessee Emergency Physicians PC | Emergency Medicine | Current | Accepting new patients |
| Owensboro Health Medical Group, Inc | Current | Accepting new patients | |
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Owensboro Health Medical Group Inc | Current | 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.
-
- Emergency Medicine Physician
- Nashville, TN
- NPI 1194758979
Emergency Medicine, TN
-
- Internal Medicine Physician
- Owensboro, KY
- NPI 1306700711
-
- Foot & Ankle Surgery Podiatrist
- Owensboro, KY
- NPI 1154738987
-
- Internal Medicine Physician
- Nashville, TN
- NPI 1437194669
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.