JONATHAN R RAY (NPI# 1619952389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619952389 |
Entity Type | Individual |
Full Name | JONATHAN R RAY |
Practice Address |
3007 Harbor Ln N Park Nicollet Clinic Plymouth Plymouth MN 55447 |
Mailing Address |
3800 Park Nicollet Blvd Credentialing St Louis Park MN 55416-2527 |
Practice Telephone | 9529938900 |
Practice Fax Number | 9529938955 |
Enumeration Date | 2005-12-14 |
Last Update Date | 2012-03-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 40421 | MN | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801496682 | Jonathan Ray | Occupational Therapy Assistant | 661 N Hearthside Ln, Tucson, AZ 85748-3802 | 2020-10-29 |
1003378308 | Jonathan Ray | Student in an Organized Health Care Education/Training Program | 19624 E Via Park St, Queen Creek, AZ 85142-6585 | 2019-04-04 |
1790229300 | Jonathan Ray | Anesthesiologist Assistant | 1968 Peachtree Rd Nw, Atlanta, GA 30309-1281 | 2016-12-15 |
1225451727 | Jonathan Ray | Physician Assistant | 10000 Park Cedar Dr, Charlotte, NC 28210-8902 | 2014-02-04 |
1780791616 | Jonathan Holcombe Ray | Surgery | 1819 W Clinch Ave, Suite 200, Knoxville, TN 37916-2434 | 2006-08-24 |
1942269113 | Jonathan Ray | Internal Medicine | 4000 Kresge Way, Louisville, KY 40207-4605 | 2006-03-17 |
Street Address |
3007 HARBOR LN N PARK NICOLLET CLINIC PLYMOUTH |
City | PLYMOUTH |
State | MN |
Zip Code | 55447 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285618819 | Douglas Lowin | Family Medicine | 3007 Harbor Ln N, Plymouth, MN 55447-5103 | 2005-12-06 |
1326654450 | Madeline Felice Nehotte | Technician, Other | 3007 Harbor Ln N, Plymouth, MN 55447-5103 | 2020-09-23 |
1922614502 | Caitlin Patricia Hall | Behavior Technician | 3007 Harbor Ln N, Plymouth, MN 55447-5103 | 2020-09-19 |
1134734734 | Katelyn Ann Parker | Technician, Other | 3007 Harbor Ln N, Plymouth, MN 55447-5103 | 2020-09-10 |
1013526193 | Nathan Robert Richards | Technician, Other | 3007 Harbor Ln N, Plymouth, MN 55447-5103 | 2020-07-24 |
1124646625 | Kylie Aanerud | Behavior Technician | 3007 Harbor Ln N, Plymouth, MN 55447-5103 | 2020-07-10 |
1013534338 | Sara Krebsbach | Behavior Technician | 3007 Harbor Ln N, Plymouth, MN 55447-5103 | 2020-07-02 |
1881088102 | Bio-medical Applications of Minnesota, Inc. | Clinic/Center | 3007 Harbor Ln N, Plymouth, MN 55447-5103 | 2015-03-25 |
1366678351 | Caroline Ruth Mathews | Pediatrics | 3007 Harbor Ln N, Plymouth, MN 55447-5103 | 2009-06-03 |
1598839250 | Mohammad Tariq Fareed | Family Medicine | 3007 Harbor Ln N, Plymouth, MN 55447-5103 | 2006-11-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952916165 | Benjamin Thomas Garbow | Nurse Anesthetist, Certified Registered | 14700 28th Avenue North, Plymouth, MN 55447 | 2020-09-14 |
1588146914 | Alicia Mae Donahue | Social Worker | 15805 26th Ave N Unit D, Plymouth, MN 55447 | 2018-09-01 |
1497262224 | Rajo Care Home Inc | Assisted Living Facility | 14015 Rockford Rd, Plymouth, MN 55447 | 2018-01-02 |
1790145647 | Mary Kathleen Salveson | Occupational Therapist | Therapy Junction 14130 23rd Ave N, Plymouth, MN 55447 | 2016-03-03 |
1477954253 | Very Best PCa Services | Home Health | 14300 34th Ave N, #111, Plymouth, MN 55447 | 2014-09-11 |
1194133157 | Adam Schmitt | Dermatology | 2 Carlson Pkwy N Ste 240, Plymouth, MN 55447 | 2014-07-22 |
1336480946 | Arthur Andrew Hoffman | Chiropractor | 16815 22nd Ave North, Plymouth, MN 55447 | 2013-03-06 |
1598001067 | North Memorial Health Care | Clinic/Center | 15535 34th Avenue N., Plymouth, MN 55447 | 2013-01-02 |
1396097069 | Kristin Lynn Spencer | Nurse Practitioner | 3007 Harbor Lane North, Park Nicollet Clinic Plymouth - Family Medicine, Plymouth, MN 55447 | 2012-10-05 |
1689930554 | Linda Gail Olson | General Practice | 17935 24th Ave N, Minneapolis, MN 55447 | 2012-04-05 |
Find all providers in zip 55447 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265996219 | Housecall Physicians, Inc | Family Medicine | 31 Home Depot Drive, Suite 283, Plymouth, MA 02360 | 2019-01-24 |
1215445994 | Jefferson Community Health Center Inc | Family Medicine | 316 N Madison Ave, Ste 200, Plymouth, NE 68424-4110 | 2018-01-17 |
1124551833 | Xpress Urgent Care PC | Family Medicine | 49237 Fox Dr N, Plymouth, MI 48170-5205 | 2017-04-10 |
1952853525 | Ann Curoe | Family Medicine | 10835 38th Pl N, Plymouth, MN 55441-1409 | 2016-10-31 |
1639429558 | Carol Elizabeth Ness | Family Medicine | 1145 Shenandoah Ln N, Plymouth, MN 55447-3201 | 2012-09-18 |
1881953461 | Ronald Carl Skoogberg | Family Medicine | 3025 Harbor Lane, Suite 101, Plymouth, MN 55447-5141 | 2012-05-16 |
1093955700 | Soliman Home Visiting Physicians Pllc | Family Medicine | 12173 Chandler Dr, Plymouth, MI 48170-3193 | 2009-02-20 |
1457508079 | Chaitra Channappa | Family Medicine | 31 Home Depot Dr Ste 283, Plymouth, MA 02360-2669 | 2008-08-26 |
1730365388 | Milton Delin Westberg | Family Medicine | 1010 Wilson St, Plymouth, NC 27962-9185 | 2008-01-14 |
1194849398 | Michael A Martella | Family Medicine | 515 E Mill Street, Plymouth, WI 53073-1807 | 2007-03-16 |
Find all providers in PLYMOUTH |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.