Thomas Clifford Ray, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

14320 Issued in AL

Practice address

1304 13TH Ave SE
Ste a
Decatur, AL 35601-4359

Phone

(256) 355-9216

Fax

(256) 351-6327

NPI assigned

Dec 14, 2005

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Decatur General Hospital

  • Internal Medicine Physician
  • Decatur, AL
  • NPI 1740496876
  NPD (past)

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196640000000",
    "number": "1689659534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 13TH AVE SE",
            "address_2": "STE A",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014359",
            "telephone_number": "256-355-9216",
            "fax_number": "256-351-6327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 13TH AVE SE",
            "address_2": "STE A",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014359",
            "telephone_number": "256-355-9216",
            "fax_number": "256-351-6327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "THOMAS",
        "middle_name": "CLIFFORD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2007-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "14320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51018984",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52930017",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randall L. Sandlin DMD PA
• Tara Randalls, FNP-C
• Kimberly Lee Randolph, CRNP
• Ray Cain, M.D. P.C.
• Mark Douglas Ray, LPC
• Stephanie Susan Rayl-Moore
• Reach Pediatrics Therapy Services PC
• Martha Read, M.D.
• Nancy M Reale, LCSW
• Robert David Reasonover, FNP

• Obstetrics & Gynecology Physician in Decatur, AL
• Providers in Decatur, AL by specialty
• Obstetrics & Gynecology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.