Healthcare Provider Details

I. General information

NPI: 1831582261
Provider Name (Legal Business Name): JOSEPH K WRAY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/10/2015
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1550 YANKEE PARK PL
DAYTON OH
45458-1868
US

IV. Provider business mailing address

1550 YANKEE PARK PL
DAYTON OH
45458-1868
US

V. Phone/Fax

Practice location:
  • Phone: 937-439-4949
  • Fax: 937-439-4948
Mailing address:
  • Phone: 937-439-4949
  • Fax: 937-439-4948

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number35.139603
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number35.139603
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: