Ray Antoine Drain, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

10967 Issued in OK

Practice address

105 S Bryant Ave
Suite 203
Edmond, OK 73034-6399

Phone

(405) 348-3100

Fax

(405) 348-6785

NPI assigned

Nov 14, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ray Antoine Drain Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260489600000",
    "number": "1629050927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S BRYANT AVE",
            "address_2": "SUITE 203",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346399",
            "telephone_number": "405-348-3100",
            "fax_number": "405-348-6785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S BRYANT AVE",
            "address_2": "SUITE 203",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346399",
            "telephone_number": "405-348-3100",
            "fax_number": "405-348-6785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAIN",
        "first_name": "RAY",
        "middle_name": "ANTOINE",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2009-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "10967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100100450A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAY",
            "last_name": "DRAIN",
            "middle_name": "ANTOINE",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Family Medicine Physician in Edmond, OK
• Providers in Edmond, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; 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.