Active NPI
Ronald Keith Wray, MD
- Gastroenterology Physician
- Oak Ridge, TN
National Provider Identifier
1184617649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 23589
- Practice address
- 988 Oak Ridge Tpke
Suite 200, Physicians Plaza
Oak Ridge, TN 37830-6930 - Phone
- (865) 483-4366
- Fax
- (865) 483-5957
- NPI assigned
- Aug 30, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 23589 | TN | Primary |
Addresses
Primary practice location
988 Oak Ridge Tpke
Suite 200, Physicians Plaza
Oak Ridge, TN 37830-6930
Mailing address
988 Oak Ridge Tpke
Suite 200, Physicians Plaza
Oak Ridge, TN 37830-6930
Phone (865) 483-4366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oak Ridge Gastroenterology Associates, PC | Gastroenterology | Current | Accepting new patients |
| Covenant Medical Group, Inc | Current | Accepting new patients | |
| Covenant Medical Group, Inc. | Current | Accepting new patients |
Locations
Dept 888179
Knoxville, TN 37995
111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554
988 Oak Ridge Tpke
Ste 200
Oak Ridge, TN 37830
Phone (865) 483-4366
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1457302010
-
- Durable Medical Equipment & Medical Supplies
- Knoxville, TN
- NPI 1871269415
-
- Gastroenterology Physician
- Oak Ridge, TN
- NPI 1154314615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713916800000",
"number": "1184617649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "988 OAK RIDGE TPKE",
"address_2": "SUITE 200, PHYSICIANS PLAZA",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378306930",
"telephone_number": "865-483-4366",
"fax_number": "865-483-5957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "988 OAK RIDGE TPKE",
"address_2": "SUITE 200, PHYSICIANS PLAZA",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378306930",
"telephone_number": "865-483-4366",
"fax_number": "865-483-5957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRAY",
"first_name": "RONALD",
"middle_name": "KEITH",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-30",
"last_updated": "2024-04-24",
"certification_date": "2024-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "TN",
"license": "23589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Ridge, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.