Active NPI
Hilton C Ray MDPC
- Family Medicine Physician
- Lamar, CO
National Provider Identifier
1629016548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- HILTON C RAY MDPC
- Practice address
- 109 Lee Ave
Suite15
Lamar, CO 81052-3717 - Phone
- (719) 336-9115
- NPI assigned
- Jun 3, 2006
- Last updated
- Oct 31, 2007
- 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
- Hilton C Ray, MD
- Title
- President
- Phone
- (719) 336-9115
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
109 Lee Ave
Suite15
Lamar, CO 81052-3717
Mailing address
109 Lee Ave
Suite15
Lamar, CO 81052-3717
Phone (719) 336-9115
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HI40452 | Other | CO | BLUE SHIELD |
| DB5771 | Other | CO | RAILROAD MEDICARE |
| 27527310 | Medicaid | CO |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nurse Practitioner
- Lamar, CO
- NPI 1548362148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193788800000",
"number": "1629016548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 LEE AVE",
"address_2": "SUITE15",
"city": "LAMAR",
"state": "CO",
"postal_code": "810523717",
"telephone_number": "719-336-9115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 LEE AVE",
"address_2": "SUITE15",
"city": "LAMAR",
"state": "CO",
"postal_code": "810523717",
"telephone_number": "719-336-9115"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HILTON C RAY MDPC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-03",
"last_updated": "2007-10-31",
"status": "A",
"authorized_official_last_name": "RAY",
"authorized_official_first_name": "HILTON",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "719-336-9115",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "HI40452",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DB5771",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "27527310",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lamar, CO
- High Plains Community Health Center Incorporated (High Plains Adult Community Health Center)
- High Plains Community Health Center, Inc. (High Plains Community Health Center Pharmacy)
- High Plains Community Health Center, Incorporated
- High Plains Migrant
- Meagan L Hillman, PA-C
- Jacqueline Rae Hiner
- Julie Hobden, RN-BSN
- Jeffrey Horgan, ATC
- Helen Drake Iams, MD
- Celia A Ibanez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.