Active NPI
Linda M Wray MD Inc PS
- Neurology Physician
- Burien, WA
National Provider Identifier
1619205861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MD00016858
- Legal business name
- LINDA M WRAY MD INC PS
- Practice address
- 16259 Sylvester Rd SW
Suite 503
Burien, WA 98166-3049 - Phone
- (206) 246-3800
- Fax
- (206) 246-3583
- NPI assigned
- Nov 30, 2009
- 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
- Linda Wray, M.D.
- Title
- Physician
- Phone
- (206) 246-3800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MD00016858 | WA | Primary |
Addresses
Primary practice location
16259 Sylvester Rd SW
Suite 503
Burien, WA 98166-3049
Mailing address
16259 Sylvester Rd SW
Suite 503
Burien, WA 98166-3049
Phone (206) 246-3800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1758309 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
16259 Sylvester Rd SW
Ste 503
Burien, WA 98166
Phone (206) 246-3800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259539200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1264550400000",
"number": "1619205861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16259 SYLVESTER RD SW",
"address_2": "SUITE 503",
"city": "BURIEN",
"state": "WA",
"postal_code": "981663049",
"telephone_number": "206-246-3800",
"fax_number": "206-246-3583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16259 SYLVESTER RD SW",
"address_2": "SUITE 503",
"city": "BURIEN",
"state": "WA",
"postal_code": "981663049",
"telephone_number": "206-246-3800",
"fax_number": "206-246-3583"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINDA M WRAY MD INC PS",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-30",
"last_updated": "2010-01-27",
"status": "A",
"authorized_official_last_name": "WRAY",
"authorized_official_first_name": "LINDA",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "206-246-3800",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "WA",
"license": "MD00016858",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1758309",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burien, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.