Michael Doran Wray, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

0101033637 Issued in VA

Practice address

2621 Grove Ave
Richmond, VA 23220-4308

Phone

(804) 254-5107

NPI assigned

Jul 29, 2005

Last updated

Aug 10, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186704000000",
    "number": "1154321388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36559",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232358011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 GROVE AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232204308",
            "telephone_number": "804-254-5107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRAY",
        "first_name": "MICHAEL",
        "middle_name": "DORAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2007-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "VA",
            "license": "0101033637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMAHEALTH",
            "identifier": "16817",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM-GROVE AVE.",
            "identifier": "224104",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Wovkulich, PHARM.D.
• Colin Prior Wozencraft, M.D.
• Wrap Around Services LLC
• Amanda Kelley Wray, PMHNP
• Kelsey Wray
• Cortney Wren
• Matthew Peter Wren, M.S., P.T.
• Jasmine Wrenn, RN, IBCLC
• Naiya Wright Chapman
• Wright House Youth and Family Services, Inc

• Anatomic Pathology & Clinical Pathology Physician in Richmond, VA
• Providers in Richmond, VA by specialty
• Anatomic Pathology & Clinical Pathology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; 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.