Active NPI
William A Wray, M.D.
- Dermatology Physician
- Spokane, WA
National Provider Identifier
1245209394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 00030912MD
- Practice address
- 309 E. Farwell Rd Suite 206
Spokane, WA 99218 - Phone
- (509) 484-4591
- Fax
- (509) 484-7882
- NPI assigned
- Mar 14, 2006
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 00030912MD | WA | Primary |
Addresses
Primary practice location
309 E. Farwell Rd Suite 206
Spokane, WA 99218
Mailing address
309 E. Farwell Rd Suite 206
Spokane, WA 99218
Phone (509) 484-4591
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124353 | Medicaid | WA | |
| G8866647 | Other | WA | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Tennessee, HSC, College of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
309 E Farwell Rd
Suite 206
Spokane, WA 99218-8208
Phone (509) 484-4591
Hospital & facility affiliations
- Prov Sacred HRT Med Ctr & Childs Hosp.
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 137 |
| Removal of skin lesions | 850 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 56 |
| Skin biopsy | 364 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00030912MD | WA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermatology Clinic of Spokane, P.C | Dermatology | Current | Accepting new patients |
Locations
309 E Farwell Rd
Ste 206
Spokane, WA 99218
Phone (509) 465-8400
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.
-
- Dermatology Physician
- Spokane, WA
- NPI 1992348619
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Spokane, WA
- NPI 1144471715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750032000000",
"number": "1245209394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 E. FARWELL RD SUITE 206",
"city": "SPOKANE",
"state": "WA",
"postal_code": "99218",
"telephone_number": "509-484-4591",
"fax_number": "509-484-7882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 E. FARWELL RD SUITE 206",
"city": "SPOKANE",
"state": "WA",
"postal_code": "99218",
"telephone_number": "509-484-4591",
"fax_number": "509-484-7882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRAY",
"first_name": "WILLIAM",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2025-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "WA",
"license": "00030912MD",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1124353",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "G8866647",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.