Individual provider Active NPI

Jason Scott Ray, MD

  • Emergency Medicine Physician
  • Woodward, OK
National Provider Identifier
1942395801
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
20821 Issued in OK
Practice address
915 17TH St
Woodward, OK 73801-2447
Phone
(580) 334-8568
Fax
(580) 256-8000
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 20821 OK Primary

Addresses

Primary practice location

915 17TH St
Woodward, OK 73801-2447

Mailing address

PO Box 2706
Woodward, OK 73802-2706
Phone (580) 334-8568

Other identifiers 1

IdentifierTypeStateIssuer
100096750AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040706000248 OK Practitioner - Emergency MedicinePractitioner - Family Practice 0244217537 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20821OKMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Services of Oklahoma PC Emergency Medicine CurrentSince Nov 1, 2013 Accepting new patients
Emergency Physicians of Midwest City, LLC Emergency Medicine CurrentSince Oct 1, 2020 Accepting new patients
Iacc/Ehi NW, LLC Past Accepting new patients
Iacc/Ehi NW, LLC Past Accepting new patients
Integris Bass Baptist Health Center Past Accepting new patients
DRS Ray PLLC Family Medicine Past Accepting new patients
Iacc/Ehi NW, LLC Past Accepting new patients

Locations

5000 Hopyard Rd
Ste 100
Pleasanton, CA 94588
Phone (480) 861-4015

100 N 30th St
Clinton, OK 73601
Phone (580) 323-2363

4801 SE 15th St
Del City, OK 73115
Phone (405) 500-3380

600 S Monroe St
Enid, OK 73701
Phone (580) 233-2300

3391 S I 35 Service Rd
Moore, OK 73160
Phone (405) 500-3330

9417 N Council Rd
Oklahoma City, OK 73162
Phone (405) 500-3280

4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200

300 S Rockwell Ave
Oklahoma City, OK 73128
Phone (405) 500-3430

900 17th St
Woodward, OK 73801
Phone (405) 610-4411

Organizations & group practices 7

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1942395801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2706",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738022706",
            "telephone_number": "580-334-8568",
            "fax_number": "580-256-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 17TH ST",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738012447",
            "telephone_number": "580-334-8568",
            "fax_number": "580-256-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "JASON",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "20821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100096750A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodward, OK

Sources for this page

Verify at the official NPI Registry.