Organization Active NPI

Ray Spaw MD PA

  • Family Medicine Physician
  • Burnet, TX
National Provider Identifier
1922155514
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H1452 Issued in TX
Legal business name
RAY SPAW MD PA
Practice address
101 E Jackson St
Burnet, TX 78611-3101
Phone
(512) 756-7510
Fax
(512) 756-0233
NPI assigned
Jan 4, 2007
Organization subpart
Yes
Parent organization
RAY SPAW MD PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Authorized official

Name
Dr. Ray G Spaw, M.D.
Title
President
Phone
(512) 756-7510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X H1452 TX Primary

Addresses

Primary practice location

101 E Jackson St
Burnet, TX 78611-3101

Mailing address

101 E Jackson St
Burnet, TX 78611-3101
Phone (512) 756-7510

Other identifiers 1

IdentifierTypeStateIssuer
1174503163OtherTXDR SPAW'S NPI NUMBER

National Provider Directory

National Provider Directory
Part of
Ray Spaw MD PA

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1922155514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E JACKSON ST",
            "city": "BURNET",
            "state": "TX",
            "postal_code": "786113101",
            "telephone_number": "512-756-7510",
            "fax_number": "512-756-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E JACKSON ST",
            "city": "BURNET",
            "state": "TX",
            "postal_code": "786113101",
            "telephone_number": "512-756-7510",
            "fax_number": "512-756-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAY SPAW MD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RAY SPAW MD PA",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "SPAW",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-756-7510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H1452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR SPAW'S NPI NUMBER",
            "identifier": "1174503163",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnet, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.