NPIMap

Organization Active NPI

P. Truett Ray, Jr.,M.D.L.L.C.

  • Urology Physician
  • Thibodaux, LA
National Provider Identifier
1285969410
Registry record updated Oct 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD013941 Issued in LA
Legal business name
P. TRUETT RAY, JR.,M.D.L.L.C.
Practice address
504 N Acadia Rd
Thibodaux, LA 70301-4862
Phone
(985) 447-5667
Fax
(985) 447-5670
NPI assigned
Oct 6, 2009
Last updated
Oct 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2009

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

Authorized official

Name
Dr. P. Truett Ray Jr., MDNPI 1669411773
Title
Physician
Phone
(985) 448-3055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X MD013941 LA Primary

Addresses

Primary practice location

504 N Acadia Rd
Thibodaux, LA 70301-4862

Mailing address

504 N Acadia Rd
Thibodaux, LA 70301-4862
Phone (985) 447-5667

Other identifiers 2

IdentifierTypeStateIssuer
P0065497OtherRAILROAD MEDICARE
1333948MedicaidLA

National Provider Directory

National Provider Directory

Locations

504 N Acadia Rd
Thibodaux, LA 70301
Phone (985) 447-5667

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254787200000",
    "number": "1285969410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 N ACADIA RD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014862",
            "telephone_number": "985-447-5667",
            "fax_number": "985-447-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 N ACADIA RD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014862",
            "telephone_number": "985-447-5667",
            "fax_number": "985-447-5670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P. TRUETT RAY, JR.,M.D.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-06",
        "last_updated": "2009-10-06",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "P.",
        "authorized_official_middle_name": "TRUETT",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "985-448-3055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "LA",
            "license": "MD013941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P0065497",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1333948",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; 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.