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NPI Code Detail

MEDICARE: DR. JOSEPH K WRAY M.D.

MEDICARE: DR. JOSEPH K WRAY 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
1207L00000XAnesthesiology Physician35.139603OH
2207LP2900XPain Medicine (Anesthesiology) Physician35.139603OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831582261
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH K WRAY M.D.
Provider Business Mailing Address
First Line : 1550 YANKEE PARK PL
Second Line :
City : DAYTON
State : OH
Zip : 45458-1868
Country : US
Telephone Number : 937-439-4949
Fax Number : 937-439-4948
Provider Business Practice Location Address
First Line : 1550 YANKEE PARK PL
Second Line :
City : DAYTON
State : OH
Zip : 45458-1868
Country : US
Telephone Number : 937-439-4949
Fax Number : 937-439-4948
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2015
Last Update Date : 05/05/2026

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Directions to “ DR. JOSEPH K WRAY M.D.” Practice Location

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