Provider Demographics
NPI:1346228889
Name:RAY, JOHN D (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:D
Last Name:RAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2021 BATTLECREEK DR
Mailing Address - Street 2:UNIT D
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80528-5119
Mailing Address - Country:US
Mailing Address - Phone:970-286-2393
Mailing Address - Fax:970-825-5920
Practice Address - Street 1:2021 BATTLECREEK DR
Practice Address - Street 2:UNIT D
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80528-5119
Practice Address - Country:US
Practice Address - Phone:970-286-2393
Practice Address - Fax:970-825-5920
Is Sole Proprietor?:No
Enumeration Date:2006-01-05
Last Update Date:2015-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO53745207XS0117X
NM2003-0478207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H41515Medicare UPIN
NM000F2322Medicaid
341328708Medicare ID - Type Unspecified
NMNM303291Medicare PIN