Active NPI
Raymond Charles Ray, MD
- Pain Medicine Physician
- Eugene, OR
National Provider Identifier
1013229293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- MD177279
- Practice address
- 1200 Hilyard St
Suite 230
Eugene, OR 97401-8122 - Phone
- (458) 205-6041
- NPI assigned
- Jul 5, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD-15425 | HI | |
| Pain Medicine Physician | 208VP0000X | MD177279 | OR | Primary |
Addresses
Primary practice location
1200 Hilyard St
Suite 230
Eugene, OR 97401-8122
Mailing address
1115 SE 164TH Ave
Dept. 358
Vancouver, WA 98683-9324
Phone (360) 729-1411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500713469 | Medicaid | OR |
Other names 1
- Dr. R, Charles Ray
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kevin Kunz MD, LLC | Past | Accepting new patients | |
| Peacehealth | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Physician
- Kailua Kona, HI
- NPI 1962694463
-
- Multi-Specialty Clinic/Center
- Longview, WA
- NPI 1720056187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483056000000",
"number": "1013229293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 SE 164TH AVE",
"address_2": "DEPT. 358",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986839324",
"telephone_number": "360-729-1411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 HILYARD ST",
"address_2": "SUITE 230",
"city": "EUGENE",
"state": "OR",
"postal_code": "974018122",
"telephone_number": "458-205-6041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "RAYMOND",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-05",
"last_updated": "2016-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "HI",
"license": "MD-15425",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "OR",
"license": "MD177279",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500713469",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "R,",
"last_name": "RAY",
"middle_name": "CHARLES",
"prefix": "DR.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.