Organization Active NPI

Scott L Ray DO PA

  • Geriatric Medicine (Family Medicine) Physician
  • Clearwater, FL
National Provider Identifier
1093726481
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
OSOOO4600 Issued in FL
Legal business name
SCOTT L RAY DO PA
Practice address
2350 Sunset Point Rd
Suite C
Clearwater, FL 33765-1443
Phone
(727) 797-3155
Fax
(727) 797-4301
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2011

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

Authorized official

Name
Dr. Scott L Ray, DO
Title
Owner
Phone
(727) 797-3155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X OSOOO4600 FL Primary

Addresses

Primary practice location

2350 Sunset Point Rd
Suite C
Clearwater, FL 33765-1443

Mailing address

2350 Sunset Point Rd
Suite C
Clearwater, FL 33765-1443
Phone (727) 797-3155

Other identifiers 1

IdentifierTypeStateIssuer
069515700MedicaidFL

National Provider Directory

National Provider Directory

Locations

2350 Sunset Point Rd
Ste C
Clearwater, FL 33765
Phone (727) 797-3155

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322524800000",
    "number": "1093726481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 SUNSET POINT RD",
            "address_2": "SUITE C",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651443",
            "telephone_number": "727-797-3155",
            "fax_number": "727-797-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 SUNSET POINT RD",
            "address_2": "SUITE C",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651443",
            "telephone_number": "727-797-3155",
            "fax_number": "727-797-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT L RAY DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2011-11-29",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-797-3155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "OSOOO4600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "069515700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.