Individual provider Active NPI

John A Wray, D.O.

  • Family Medicine Physician
  • Abilene, TX
National Provider Identifier
1700882230
Registry record updated Mar 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F7330 Issued in TX
Practice address
6417 Central Park Blvd
Abilene, TX 79606-5884
Phone
(325) 695-6370
Fax
(325) 692-6595
NPI assigned
Jun 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F7330 TX Primary

Addresses

Primary practice location

6417 Central Park Blvd
Abilene, TX 79606-5884

Mailing address

6417 Central Park Blvd
Abilene, TX 79606-5884
Phone (325) 695-6370

Other identifiers 3

IdentifierTypeStateIssuer
116106901MedicaidTX
127308100OtherTXFIRST CARE
84Z210OtherBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Abilene Primary Care Associates Family Medicine Current Accepting new patients
Communities of Texas Healthcare, LLP Family Medicine PastSince Oct 9, 2022 Accepting new patients

Locations

23 Hospital Dr
Ste 102
Abilene, TX 79606
Phone (325) 238-9337

425 Cypress St
Abilene, TX 79601
Phone (915) 673-4488

Interoperability endpoints

  • Direct secure messaging: jawray@directaddress.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553904000000",
    "number": "1700882230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6417 CENTRAL PARK BLVD",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065884",
            "telephone_number": "325-695-6370",
            "fax_number": "325-692-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6417 CENTRAL PARK BLVD",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065884",
            "telephone_number": "325-695-6370",
            "fax_number": "325-692-6595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRAY",
        "first_name": "JOHN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2019-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F7330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116106901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CARE",
            "identifier": "127308100",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "84Z210",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2019; 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.