MEDICARE: DR. RICHARD WARD FURAY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	35055025F	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	010019874	OTHER	OH	RAIL ROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	1720126	OTHER	OH	UNITED HEALTH CARE
3	311202862026	OTHER	OH	CARESOURCE
4	000000014682	OTHER	OH	ANTHEM AND ONE NATION
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497751382
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD WARD FURAY M.D.

Provider Business Mailing Address
First Line	:	1343 N FOUNTAIN BLVD
Second Line	:	2ND FLOOR IMAGING CENTER
City	:	SPRINGFIELD
State	:	OH
Zip	:	45504-1422
Country	:	US
Telephone Number	:	937-323-2690
Fax Number	:	937-323-1009

Provider Business Practice Location Address
First Line	:	1343 N FOUNTAIN BLVD
Second Line	:	2ND FLOOR IMAGING CENTER
City	:	SPRINGFIELD
State	:	OH
Zip	:	45504-1422
Country	:	US
Telephone Number	:	937-323-2690
Fax Number	:	937-323-1009

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2005
Last Update Date	:	08/10/2010

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