Organization Active NPI

Gary L. Ray, MD, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Hamilton, OH
National Provider Identifier
1467500959
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
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

Updated by the provider on Aug 26, 2020

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

Authorized official

Name
Gary L Ray, MDNPI 1407968001
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)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
2014582MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070328000022 OH Part B Supplier - Clinic/Group Practice 4981708161 Receives reassigned benefits from 1 practitioner
Practice locations: Hamilton, OH

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.