Active NPI
Troy Ray
- Physician Assistant
- Wewoka, OK
National Provider Identifier
1245905009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5165
- Practice address
- 36640 US -270
Wewoka, OK 74884 - Phone
- (405) 257-6282
- NPI assigned
- Aug 13, 2021
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5165 | OK | Primary |
Addresses
Primary practice location
36640 US -270
Wewoka, OK 74884
Mailing address
615 S 12TH St
Hartshorne, OK 74547-5001
Phone (918) 308-0313
Other practice location 1
615 S 12th St
Hartshorne, OK 74547-5001
Phone (918) 308-0313
Other practice location 2
1415 W 78th St Apt 1115
Tulsa, OK 74132-4630
Phone (918) 308-0313
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
36640 Hwy 270
Wewoka, OK 74884
36640 Hwy 270
Wewoka, OK 74884-4021
Phone (405) 257-6282
PO Box
Suite 1475
Wewoka, OK 74884
Hospital & facility affiliations
- Lawton Indian Hospital
- Holdenville General Hospital
- SSM Health St Anthony Hospital - Shawnee
- Chickasaw Nation Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5165 | OK | MD | Speech-Language Pathologist |
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.
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Federal Public Health Clinic/Center
- Anadarko, OK
- NPI 1881637403
Hospital
-
- Federal Public Health Clinic/Center
- Carnegie, OK
- NPI 1457459158
Hospital
-
- General Acute Care Hospital
- Ada, OK
- NPI 1255364923
-
- Primary Care Clinic/Center
- Tishomingo, OK
- NPI 1649330242
Hospital
-
- Primary Care Clinic/Center
- Ada, OK
- NPI 1962563148
Hospital
-
- Federal Public Health Clinic/Center
- Clinton, OK
- NPI 1205923448
Hospital
-
- Critical Access Hospital
- Holdenville, OK
- NPI 1265851455
-
- General Acute Care Hospital
- Lawton, OK
- NPI 1760489223
-
- General Acute Care Hospital
- Shawnee, OK
- NPI 1134123193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719532800000",
"number": "1245905009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 S 12TH ST",
"city": "HARTSHORNE",
"state": "OK",
"postal_code": "745475001",
"telephone_number": "918-308-0313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36640 US -270",
"city": "WEWOKA",
"state": "OK",
"postal_code": "74884",
"telephone_number": "405-257-6282"
}
],
"practiceLocations": [
{
"address_1": "615 S 12th St",
"address_purpose": "LOCATION",
"city": "Hartshorne",
"state": "OK",
"postal_code": "745475001",
"country_code": "US",
"telephone_number": "918-308-0313",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1415 W 78th St Apt 1115",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741324630",
"country_code": "US",
"telephone_number": "918-308-0313",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAY",
"first_name": "TROY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-13",
"last_updated": "2024-06-28",
"certification_date": "2024-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "5165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wewoka, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.
- 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.