Active NPI
Wray Anthony Gerard, MD
- Family Medicine Physician
- Lebanon, PA
National Provider Identifier
1093776965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD034051E
- Practice address
- 4TH & Walnut St
Good Samaritan Hospital
Lebanon, PA 17042-1281 - Phone
- (717) 270-7740
- Fax
- (717) 270-3877
- NPI assigned
- Mar 30, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD034051E | PA | Primary |
Addresses
Primary practice location
4TH & Walnut St
Good Samaritan Hospital
Lebanon, PA 17042-1281
Mailing address
PO Box 1281
Good Samaritan Hospital
Lebanon, PA 17042-1281
Phone (717) 270-7740
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 465706 | Other | PA | HIGHMARK BLUE SHIELD |
| 01845802 | Other | PA | CAPITAL BLUE CROSS |
| 0011756560003 | Medicaid | PA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD034051E | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lebanon MRI Associates, LTD | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba GSH Imaging Center
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Lebanon, PA
- NPI 1912940651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204588800000",
"number": "1093776965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1281",
"address_2": "GOOD SAMARITAN HOSPITAL",
"city": "LEBANON",
"state": "PA",
"postal_code": "170421281",
"telephone_number": "717-270-7740",
"fax_number": "717-270-3877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4TH & WALNUT ST",
"address_2": "GOOD SAMARITAN HOSPITAL",
"city": "LEBANON",
"state": "PA",
"postal_code": "170421281",
"telephone_number": "717-270-7740",
"fax_number": "717-270-3877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERARD",
"first_name": "WRAY",
"middle_name": "ANTHONY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-30",
"last_updated": "2008-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD034051E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "465706",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "01845802",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0011756560003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, PA
- Helena Gelok
- Gentle Hands Chiropractic PC
- George E Fava MD PC (Fava & Maria Eye Associates)
- George E. Fava MD PC (Fava & Maria Eye Associates)
- George L. Jenkins, D.C., P.C.
- Jeri Christina Gerhards, LMT
- Rebekah Anne Gerhart, MASW, LSW
- Donna Frances Germann, PHARMACIST
- Elizabeth Getch, LCSW
- Joseph Stephen Getway, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.