NPIMap

Organization Active NPI

Raypar Inc

Doing business as Trinity Medical Center

  • Family Medicine Physician
  • Winter Haven, FL
National Provider Identifier
1356374466
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RAYPAR INC
Doing business as
Trinity Medical Center
Practice address
550 Pope Ave NW
Winter Haven, FL 33881-4679
Phone
(863) 299-2636
Fax
(863) 662-5288
NPI assigned
Jul 9, 2006
Last updated
Jan 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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

Authorized official

Name
Dr. Dorothy J Ray, MD
Title
President
Phone
(863) 683-4661

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

550 Pope Ave NW
Winter Haven, FL 33881-4679

Mailing address

550 Pope Ave NW
Winter Haven, FL 33881-4679
Phone (863) 299-2636

Other identifiers 3

IdentifierTypeStateIssuer
253818100OtherFLMEDICAID
660109000MedicaidFL
66010901OtherFLMEDICAID

Other names 1

  • Trinity Medical Center Doing business as

National Provider Directory

National Provider Directory

Locations

1064 N Broadway Ave
Bartow, FL 33830
Phone (863) 519-9797

550 Pope Ave NW
Winter Haven, FL 33881
Phone (863) 293-2144

550 Pope Ave NW
Ste 300
Winter Haven, FL 33881
Phone (863) 299-2636

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546473600000",
    "number": "1356374466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 POPE AVE NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814679",
            "telephone_number": "863-299-2636",
            "fax_number": "863-662-5288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 POPE AVE NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814679",
            "telephone_number": "863-299-2636",
            "fax_number": "863-662-5288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYPAR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2019-01-03",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-683-4661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "253818100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "660109000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "66010901",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Trinity Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.