Glenn W Ray (NPI# 1558347021, PAC ID# 4880652593) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1558347021 |
| PAC ID by PECOS | 4880652593 |
| Professional Enrollment ID | I20041228000878 |
| Full Name | Glenn W Ray |
| Organization Legal Name | 4M EMERGENCY SYSTEMS TOD LLC |
| Address |
1296 Tod Nwpl Suite 200 Warren OH 44485-2474 |
| Phone Number | 2406862300 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1997 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 3173547593 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190044 | ACADIA GENERAL HOSPITAL |
| 360161 | ST JOSEPH WARREN HOSPITAL |
| 150048 | REID HOSPITAL & HEALTH CARE SERVICES |
| 200039 | MAINE GENERAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1941 Virginia Ave, Connersville, IN 47331-2833 | 7659255131 | REID PHYSICIAN ASSOCIATES INC |
| 1305 Crowley Rayne Hwy, Crowley, LA 70526-8202 | 3377833222 | CROWLEY EMERGENCY GROUP LLC |
| 8885 State Rd, Suite 237, Tell City, IN 47586-8567 | 8125477011 | ESS OF TELL CITY LLC |
| 1296 Tod Nwpl, Suite 200, Warren, OH 44485-2474 | 2406862300 | 4M EMERGENCY SYSTEMS TOD LLC |
| 667 Eastland Ave Se, Warren, OH 44484-4503 | 3308414000 | 4M EMERGENCY SYSTEMS INC |
| Organization Legal Name | 4M EMERGENCY SYSTEMS TOD LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Jackson | Family Medicine | 4m Emergency Systems Tod LLC | 1296 Tod Nwpl, Suite 200, Warren, OH 44485-2474 |
| Maria Christine Sember | Emergency Medicine | 4m Emergency Systems Tod LLC | 1296 Tod Nwpl, Suite 200, Warren, OH 44485-2474 |
| Matthew Eggleston | Emergency Medicine | 4m Emergency Systems Tod LLC | 1296 Tod Nwpl, Suite 200, Warren, OH 44485-2474 |
| John M Manenti | Family Medicine | 4m Emergency Systems Tod LLC | 1296 Tod Nwpl, Suite 200, Warren, OH 44485-2474 |
| John L Baumeier | Emergency Medicine | 4m Emergency Systems Tod LLC | 1296 Tod Nwpl, Suite 200, Warren, OH 44485-2474 |
| Asheesh A Pai-dhungat | Emergency Medicine | 4m Emergency Systems Tod LLC | 1296 Tod Nwpl, Suite 200, Warren, OH 44485-2474 |
| Street Address |
1296 TOD NWPL SUITE 200 |
| City | WARREN |
| State | OH |
| Zip | 44485-2474 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Jackson | Family Medicine | 4m Emergency Systems Tod LLC | 1296 Tod Nwpl, Suite 200, Warren, OH 44485-2474 |
| Maria Christine Sember | Emergency Medicine | 4m Emergency Systems Tod LLC | 1296 Tod Nwpl, Suite 200, Warren, OH 44485-2474 |
| Matthew Eggleston | Emergency Medicine | 4m Emergency Systems Tod LLC | 1296 Tod Nwpl, Suite 200, Warren, OH 44485-2474 |
| John M Manenti | Family Medicine | 4m Emergency Systems Tod LLC | 1296 Tod Nwpl, Suite 200, Warren, OH 44485-2474 |
| John L Baumeier | Emergency Medicine | 4m Emergency Systems Tod LLC | 1296 Tod Nwpl, Suite 200, Warren, OH 44485-2474 |
| Asheesh A Pai-dhungat | Emergency Medicine | 4m Emergency Systems Tod LLC | 1296 Tod Nwpl, Suite 200, Warren, OH 44485-2474 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristin Elaine Boyd | Nurse Practitioner | S and J Med Inc | 2760 Parkman Rd Nw, Warren, OH 44485-1699 |
| Paresh G Mehta | Obstetrics/gynecology | 2390 Parkman Rd Nw, Warren, OH 44485-1774 | |
| Walter E Scott Iii | Family Practice | Mercy Health Physicians Youngstown, LLC | 1296 Tod Pl Nw, Warren, OH 44485-2474 |
| Sharon Laverne George | Family Medicine | 420 Southern Blvd Nw, Warren, OH 44485-2537 | |
| Anna H Grzebieniak | Nurse Practitioner | Compass Family and Community Services | 3120 W Market St, Warren, OH 44485-3069 |
| John Michael Jerome | Nurse Practitioner | Ohio North East Health Systems Inc | 716 Tod Ave Sw, Warren, OH 44485-3608 |
| Justin Pykare | Nurse Practitioner | Ohio North East Health Systems Inc | 716 Tod Ave Sw, Warren, OH 44485-3608 |
| City | WARREN |
| Zip Code | 44485 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WARREN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Glenn W Ray.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.