Ray C Wunderlich Jr M.D. P.a.

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

RAY C WUNDERLICH JR M.D. P.A.

Practice address

8821 Dr Martin Luther King Jr St N
St Petersburg, FL 33702-3443

Phone

(727) 822-3612

Fax

(727) 578-1370

NPI assigned

Nov 29, 2006

Organization subpart

No

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

Authorized official

Name

Cheryl Lynn Sweeney

Title

Billing Company Owner

Phone

(727) 391-1257

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John B Decosmo, DO

  • Family Medicine Physician
  • Saint Petersburg, FL
  • NPI 1396721221
  NPD (past)
• Shawna Ann Doran, A.R.N.P.

  • Family Nurse Practitioner
  • Alachua, FL
  • NPI 1992736110
  NPD (past)
• Stephen A Haering, MD, MPH

  • Public Health & General Preventive Medicine Physician
  • Winchester, VA
  • NPI 1831342898
  NPD (past)
• Nolan T Moyer, CRNP

  • Adult Health Nurse Practitioner
  • Easton, PA
  • NPI 1548200249
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245307917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8821 DR MARTIN LUTHER KING JR ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337023443",
            "telephone_number": "727-822-3612",
            "fax_number": "727-578-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8821 DR MARTIN LUTHER KING JR ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337023443",
            "telephone_number": "727-822-3612",
            "fax_number": "727-578-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAY C WUNDERLICH JR M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SWEENEY",
        "authorized_official_first_name": "CHERYL LYNN",
        "authorized_official_title_or_position": "BILLING COMPANY OWNER",
        "authorized_official_telephone_number": "727-391-1257"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Ravelo, MPT
• Chitra Ravindra, M.D.
• Nagella Ravindra, M.D.
• Jonathan Terry Rawlins, MA
• Hannah Elizabeth Rawls, ATC
• Ray L. Bowman, PH.D., P.a.
• Benjamin Terrell Ray, LMT
• Robert Harold Ray, MS,RKT
• Ruben Lazaro Raya Campos, MD.
• Lorraine Carol Raymond, P.T.A.

• Point of Service in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Point of Service in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.