NPIMap

Organization Active NPI

R. Charles Ray, MD, LLC

  • Medical Specialty Clinic/Center
  • Kamuela, HI
National Provider Identifier
1437451457
Registry record updated Feb 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
MD 15425 Issued in HI
Legal business name
R. CHARLES RAY, MD, LLC
Practice address
65-1227A Opelo Rd
Suite104
Kamuela, HI 96743-7315
Phone
(808) 885-6030
Fax
(808) 885-6020
NPI assigned
Nov 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2013

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

Authorized official

Name
Dr. Raymond Charles Ray, MD
Title
Partner
Phone
(808) 960-2363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X MD 15425 HI Primary

Addresses

Primary practice location

65-1227A Opelo Rd
Suite104
Kamuela, HI 96743-7315

Mailing address

65-1227A Opelo Rd
Suite104
Kamuela, HI 96743-7315
Phone (808) 885-6030

National Provider Directory

National Provider Directory

Locations

65-1227A Opelo Rd
Ste 104
Kamuela, HI 96743
Phone (808) 885-6030

65-1227 Opelo Rd
#A
Kamuela, HI 96743
Phone (808) 885-6030

NPI Registry JSON

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

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359676800000",
    "number": "1437451457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65-1227A OPELO RD",
            "address_2": "SUITE104",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967437315",
            "telephone_number": "808-885-6030",
            "fax_number": "808-885-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65-1227A OPELO RD",
            "address_2": "SUITE104",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967437315",
            "telephone_number": "808-885-6030",
            "fax_number": "808-885-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. CHARLES RAY, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-23",
        "last_updated": "2013-02-01",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "808-960-2363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "HI",
            "license": "MD 15425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kamuela, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; 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.