Active NPI
Gary L. Ray, MD, Inc.
- Physical Medicine & Rehabilitation Physician
- Hamilton, OH
National Provider Identifier
1467500959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- GARY L. RAY, MD, INC.
- Practice address
- 1010 Cereal Ave Ste 212
Hamilton, OH 45013-2776 - Phone
- (513) 867-2730
- Fax
- (513) 867-2840
- NPI assigned
- Jan 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gary L Ray, MD
- Title
- Owner
- Phone
- (513) 867-2730
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
1010 Cereal Ave Ste 212
Hamilton, OH 45013-2776
Mailing address
PO Box 63-5491
Cincinnati, OH 45263-5491
Phone (513) 867-2730
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2014582 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070328000022 | OH | Part B Supplier - Clinic/Group Practice | 4981708161 |
Receives reassigned benefits from 1 practitioner Practice locations: Hamilton, OH |
National Provider Directory
National Provider DirectoryLocations
1010 Cereal Ave
Ste 311
Hamilton, OH 45013
Phone (513) 737-1218
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Hamilton, OH
- NPI 1407968001
OH, Physical Medicine & Rehabilitation
-
- Physical Medicine & Rehabilitation Physician
- Cincinnati, OH
- NPI 1396857983
Physical Medicine & Rehabilitation
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598400000000",
"number": "1467500959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 63-5491",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452635491",
"telephone_number": "513-867-2730",
"fax_number": "513-867-2840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 CEREAL AVE STE 212",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450132776",
"telephone_number": "513-867-2730",
"fax_number": "513-867-2840"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARY L. RAY, MD, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-08",
"last_updated": "2020-08-26",
"certification_date": "2020-08-26",
"status": "A",
"authorized_official_last_name": "RAY",
"authorized_official_first_name": "GARY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "513-867-2730",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2014582",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hamilton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.