Organization Active NPI

Clinton M Ray MD Orthopaedics & Sports Medicine LLC

  • Orthopaedic Surgery Physician
  • Oxford, AL
National Provider Identifier
1437315504
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
00023812 Issued in AL
Legal business name
CLINTON M RAY MD ORTHOPAEDICS & SPORTS MEDICINE LLC
Practice address
1419 Hamric Dr E Ste 201
Oxford, AL 36203-2181
Phone
(256) 241-4842
Fax
(256) 241-3254
NPI assigned
Jul 29, 2008
Last updated
Apr 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Authorized official

Name
Dr. Clinton M Ray, M.D.NPI 1275522740
Title
Owner/Member
Phone
(256) 241-4842

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 00023812 AL Primary

Addresses

Primary practice location

1419 Hamric Dr E Ste 201
Oxford, AL 36203-2181

Mailing address

1419 Hamric Dr E
Suite 201
Oxford, AL 36203-2173
Phone (256) 241-4842

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080903000165 AL Part B Supplier - Clinic/Group Practice 0840366696 Receives reassigned benefits from 3 practitioners
Practice locations: Oxford, AL
O20100930017379 AL DME Supplier - Physician - Orthopedic/Orthopedic Surgery 0840366696 Practice locations: Oxford, AL

National Provider Directory

National Provider Directory

Locations

1419 Hamric Dr E
Ste 101
Oxford, AL 36203
Phone (256) 235-3660

1419 Hamric Dr E
Ste 201
Oxford, AL 36203
Phone (256) 241-3242

Practitioners & affiliated clinicians

Practitioners 7

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": "1217289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1437315504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 HAMRIC DR E",
            "address_2": "SUITE 201",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "362032173",
            "telephone_number": "256-241-4842",
            "fax_number": "256-241-3254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 HAMRIC DR E STE 201",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "362032181",
            "telephone_number": "256-241-4842",
            "fax_number": "256-241-3254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON M RAY MD ORTHOPAEDICS & SPORTS MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-29",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "256-241-4842",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "00023812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.