Melvin Ray, P.A.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

3449781206 Issued in UT

Practice address

379 N 500 W
Suite 1a
Vernal, UT 84078-1956

Phone

(435) 789-1165

Fax

(435) 789-1169

NPI assigned

Apr 25, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Basin Medical Clinic LLC

  • Family Medicine Physician
  • Vernal, UT
  • NPI 1396838918
  NPD (past)

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598984544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 N 500 W",
            "address_2": "SUITE 1A",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840781956",
            "telephone_number": "435-789-1165",
            "fax_number": "435-789-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "379 N 500 W",
            "address_2": "SUITE 1A",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840781956",
            "telephone_number": "435-789-1165",
            "fax_number": "435-789-1169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "MELVIN",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "3449781206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "3449781206",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adrianna Troy Potts
• Praxair Healthcare Services, Inc.
• Precision Learning & Behavioral Consulting
• Torilynn Price, FNP
• R K Jolley DDS PC
• Hailee Jo Rayas, MFTI
• Neil Harley Reed
• Kristen Calder Remington, MOT, OTR
• Eric Reynolds, NP-C
• Kinsey Reynolds, MS, PA-C

• Family Medicine Physician in Vernal, UT
• Providers in Vernal, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.