Active NPI
Joel W. Ray, MD
- Specialist
- Cape Girardeau, MO
National Provider Identifier
1922004936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD113702
- Practice address
- 150 S Mount Auburn Rd
Ste 320
Cape Girardeau, MO 63703-4911 - Phone
- (573) 339-0900
- Fax
- (573) 339-1851
- NPI assigned
- Jun 23, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD113702 | MO | Primary |
Addresses
Primary practice location
150 S Mount Auburn Rd
Ste 320
Cape Girardeau, MO 63703-4911
Mailing address
150 S Mount Auburn Rd
Ste 320
Cape Girardeau, MO 63703-4911
Phone (573) 339-0900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208870204 | Medicaid | MO |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD113702 | MO | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozarks Medical Center | Past | Accepting new patients |
Interoperability endpoints
- jray16506@surescripts.sfmc.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422403200000",
"number": "1922004936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 S MOUNT AUBURN RD",
"address_2": "STE 320",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637034911",
"telephone_number": "573-339-0900",
"fax_number": "573-339-1851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 S MOUNT AUBURN RD",
"address_2": "STE 320",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637034911",
"telephone_number": "573-339-0900",
"fax_number": "573-339-1851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "JOEL",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-23",
"last_updated": "2015-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MO",
"license": "MD113702",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "208870204",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.