Organization Active NPI

David W Ray LLC

  • Family Medicine Physician
  • Cambridge, OH
National Provider Identifier
1942373170
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DAVID W RAY LLC
Practice address
61353 Southgate Rd Ste 6
Cambridge, OH 43725-6607
Phone
(740) 439-4228
Fax
(740) 204-0211
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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

Authorized official

Name
David W Ray, DO
Title
Owner Provider
Phone
(740) 439-4228

Specialties & licenses 1

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

Addresses

Primary practice location

61353 Southgate Rd Ste 6
Cambridge, OH 43725-6607

Mailing address

61353 Southgate Rd Suite 6
Cambridge, OH 43725-9617
Phone (740) 439-4228

Other identifiers 1

IdentifierTypeStateIssuer
DD1780OtherOHRR MEDICARE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0875142David W Ray DO61353 Southgate Road Suite 6, Cambridge, OH 43725Certificate of waiverJul 18, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347580800000",
    "number": "1942373170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61353 SOUTHGATE RD SUITE 6",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437259617",
            "telephone_number": "740-439-4228",
            "fax_number": "740-204-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61353 SOUTHGATE RD STE 6",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437256607",
            "telephone_number": "740-439-4228",
            "fax_number": "740-204-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID W RAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2012-09-14",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER PROVIDER",
        "authorized_official_telephone_number": "740-439-4228",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DD1780",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.