Individual provider Active NPI

Deella Ann Ray, MD

  • Anesthesiology Physician
  • Hot Springs, AR
National Provider Identifier
1508870916
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
E3559 Issued in AR
Practice address
3810 Central Ave
Ste H
Hot Springs, AR 71913-6921
Phone
(501) 525-5840
Fax
(501) 525-1762
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X E3559 AR Primary

Addresses

Primary practice location

3810 Central Ave
Ste H
Hot Springs, AR 71913-6921

Mailing address

3810 Central Ave
Ste H
Hot Springs, AR 71913-6921
Phone (501) 525-5840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20051205000726 AR Practitioner - Anesthesiology 7810917838 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E3559ARMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Clinic Past Accepting new patients
Aiken Anesthesiology Group PA. Anesthesiology Past Accepting new patients
Midstate Medical Services PA Anesthesiology PastSince Aug 7, 2012 Accepting new patients
Barbara Lazerus Crna Ms Anesthesiology Past Accepting new patients

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1508870916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 CENTRAL AVE",
            "address_2": "STE H",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136921",
            "telephone_number": "501-525-5840",
            "fax_number": "501-525-1762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 CENTRAL AVE",
            "address_2": "STE H",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136921",
            "telephone_number": "501-525-5840",
            "fax_number": "501-525-1762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "DEELLA",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AR",
            "license": "E3559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

Verify at the official NPI Registry.