Individual provider Active NPI

Marilyn Jeanne Ray, M.D.

  • Diagnostic Radiology Physician
  • Claremont, NH
National Provider Identifier
1447289798
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0425374 Issued in KS
Practice address
448 Windsor Rd
Claremont, NH 03743-4123
Phone
(603) 558-1260
Fax
(603) 287-8098
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0425374 KS Primary
Diagnostic Radiology Physician 2085R0202X 19944 NE
Diagnostic Radiology Physician 2085R0202X DR-35177 CO

Addresses

Primary practice location

448 Windsor Rd
Claremont, NH 03743-4123

Mailing address

PO Box 1117
Claremont, NH 03743-1117
Phone (603) 558-1260

Other identifiers 2

IdentifierTypeStateIssuer
100178640BMedicaidKS
91351775MedicaidCO

Other names 1

  • Dr. Marilyn J. Ray Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180209000631 ME Practitioner - Diagnostic Radiology 2769423276 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR-35177COMDDiagnostic Radiology Physician
19944NEMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Maine Medical Center CurrentSince Aug 13, 2018 Accepting new patients
Northern Maine Medical Center CurrentSince Aug 13, 2018 Accepting new patients
City of Caribou CurrentSince Dec 19, 2017 Accepting new patients
Radiology Associates of Hays, P.a. Diagnostic Radiology Past Accepting new patients
Radiology Imaging of Nebraska, LLC Diagnostic Radiology Past Accepting new patients

Locations

163 Van Buren Rd
Ste 1
Caribou, ME 04736
Phone (207) 498-1227

194 E Main St
Fort Kent, ME 04743
Phone (207) 834-3101

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1447289798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1117",
            "city": "CLAREMONT",
            "state": "NH",
            "postal_code": "037431117",
            "telephone_number": "603-558-1260",
            "fax_number": "603-287-8098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 WINDSOR RD",
            "city": "CLAREMONT",
            "state": "NH",
            "postal_code": "037434123",
            "telephone_number": "603-558-1260",
            "fax_number": "603-287-8098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "MARILYN",
        "middle_name": "JEANNE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": "0425374",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "19944",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "DR-35177",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100178640B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "91351775",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARILYN",
            "last_name": "RAY",
            "middle_name": "J.",
            "prefix": "DR.",
            "credential": "M.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Claremont, NH

Sources for this page

Verify at the official NPI Registry.