Organization Active NPI

Linda M Wray MD Inc PS

  • Neurology Physician
  • Burien, WA
National Provider Identifier
1619205861
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD00016858 Issued in WA
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

Updated by the provider on Jan 27, 2010

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)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1758309MedicaidWA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.