Geoffrey Lance Ray, M.D.
Individual provider Active NPI Radiation Oncology Physician · Holiday, FL
NPI 1457589608 · NPPES record last updated Sep 6, 2022
Key facts
- NPI
- 1457589608
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Radiation Oncology Physician 2085R0001X
- License
- 82190 (SC)
- Practice address
- 3000 US Highway 19
Holiday, FL 34691-2635 - Phone
- (727) 942-7070
- NPI assigned
- Jun 26, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 19
Medicare Care Compare profile
- Specialty
- Radiation Oncology
- Education
- Howard University College of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
Practice addresses (Care Compare)
1221 Mercantile LN
Largo, MD 20774-5374
Phone (301) 618-5700
12255 Fair Lakes Pkwy
Fairfax, VA 22033-3952
Phone (703) 237-4800
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD, DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161026000793 | MD | Practitioner - Radiation Oncology | 3072750553 | Reassigns benefits to 1 organization |
| I20220914000462 | DC | Practitioner - Radiation Oncology |
3072750553 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME124289 | FL | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current |
Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current |
Accepting new patients | |
| Sinai Hospital of Baltimore, Inc. | Current |
Accepting new patients | |
| Sinai Hospital of Baltimore, Inc | Radiation Oncology | Current |
Accepting new patients |
Locations
2401 W Belvedere Ave
Baltimore, MD 21215
2435 W Belvedere Ave
Ste 56
Baltimore, MD 21215
Phone (410) 578-8632
2101 E Jefferson St
Ste 6WPPQA
Rockville, MD 20852
Phone (301) 816-5853
1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500
Interoperability endpoints
- geoffrey.ray@hca5.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | ME124289 | FL | |
| Radiation Oncology Physician | 2085R0001X | 82190 | SC | Yes |
Addresses
Primary practice location
3000 US Highway 19
Holiday, FL 34691-2635
Mailing address
809 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone (843) 497-8312
Other practice location 1
809 82nd Pkwy
Myrtle Beach, SC 29572-4607
Phone (843) 497-8312
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | GEOFFREY.RAY@hca5.eclinicaldirectplus.com | ||
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
Other providers in Holiday, FL
- Raintree Therapy Services, LLC
- Rajesh V Patel MD PA
- Laura C Ramos Perez
- Katie Ann Ramos
- Randolph C Harding DC PA
- John Redings
- Rias Ali MD PLLC
- Lacoya D Richardson
- Kathleen J Richter
- Riddle Family Chiropractic, Inc.
All providers in Holiday, FL · Radiation Oncology Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.