JONATHAN R RAY


Address: 3007 Harbor Ln N, Park Nicollet Clinic Plymouth, Plymouth, MN 55447
Phone: 9529938900

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 40421 MN Allopathic & Osteopathic Physicians

Other Providers JONATHAN RAY

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

Office Location

Street Address 3007 HARBOR LN N
PARK NICOLLET CLINIC PLYMOUTH
City PLYMOUTH
State MN
Zip Code 55447

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City PLYMOUTH
Zip Code 55447

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Dataset Information

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.

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