DR. WILLIAM GRAY (NPI# 1033402862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033402862 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM GRAY |
| Credential | M.D. |
| Practice Address |
130 Division St Derby CT 06418 |
| Mailing Address |
67 Maple Ave Fl 2 Derby CT 06418-1328 |
| Practice Telephone | 2037321330 |
| Practice Fax Number | 2037321332 |
| Mailing Telephone | 2037321330 |
| Mailing Fax Number | 2037321332 |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2019-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 51115 | CT | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 51115 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | LICENSE | 51115 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 85 Seymour St, Suite 901, Hartford, CT 061065501 | 8602440148 | 8604931852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164855722 | William Ryburn Gray Jr. | Radiology | 2858 Piping Rock Dr, Abilene, TX 79606-4322 | 2013-08-18 |
| 1649395229 | William Richard Gray | Physician Assistant | 2500 Nesconset Hwy Bldg 15h, Stony Brook, NY 11790-2554 | 2007-03-20 |
| 1235279936 | William Charles Gray | Dentist | 100 G T Thames Dr, Suite A, Starkville, MS 39759-8836 | 2007-02-08 |
| 1972602936 | William J Gray | Podiatrist | 1170 W Mich Ave, Marshall, MI 49068 | 2006-09-22 |
| 1568445716 | William Gray IIi | Chiropractor | 446 Grace St, Greenwood, SC 29649-3125 | 2005-11-22 |
| 1497757033 | William Alden Gray | Dentist | 605 S Orchard St, Stillwater, OK 74074-4218 | 2005-08-12 |
| 1588666317 | William J Gray | Internal Medicine | 811 W Coomer St, Morenci, MI 49256-1352 | 2005-08-11 |
| 1740709641 | William Gray | Counselor | 44447 10th St W, Lancaster, CA 93534-3324 | 2017-09-12 |
| 1255863817 | William Henry Gray IIi | Registered Nurse | 1712 E Broad St, Richmond, VA 23223-6930 | 2017-03-31 |
| 1114378882 | William Gray | Internal Medicine | 405 W Jackson St, Carbondale, IL 62901 | 2016-06-23 |
| Street Address |
130 DIVISION ST |
| City | DERBY |
| State | CT |
| Zip Code | 06418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427058478 | Mihaela Boran | Psychiatry & Neurology | 130 Division St, Derby, CT 06418-1326 | 2005-07-29 |
| 1437767134 | Sovit Dahal | Student in an Organized Health Care Education/Training Program | 130 Division St, Derby, CT 06418-1326 | 2020-07-20 |
| 1649894056 | Julie Sim | Student in an Organized Health Care Education/Training Program | 130 Division St, Derby, CT 06418-1326 | 2020-06-01 |
| 1073133435 | Angad Singh Gill | Student in an Organized Health Care Education/Training Program | 130 Division St, Griffin Hospital, Derby, CT 06418 | 2020-04-25 |
| 1699394924 | Ricardo Adolfo Concepcion Gomez | Student in an Organized Health Care Education/Training Program | 130 Division St, Derby, CT 06418 | 2020-04-16 |
| 1104455112 | Maharshi Panchal | Student in an Organized Health Care Education/Training Program | 130 Division St, Derby, CT 06418-1326 | 2020-04-02 |
| 1104455252 | Anwesh Babu Poosala | Student in an Organized Health Care Education/Training Program | 130 Division St, Derby, CT 06418-1326 | 2020-04-01 |
| 1720615271 | Anthony Karam Awad | Student in an Organized Health Care Education/Training Program | 130 Division St, Derby, CT 06418-1326 | 2020-03-25 |
| 1134756760 | Douglas Misael Palacios Hernandez | Student in an Organized Health Care Education/Training Program | 130 Division St, Derby, CT 06418-1326 | 2020-03-24 |
| 1437786142 | Rosa Constantino | Student in an Organized Health Care Education/Training Program | 130 Division St, Derby, CT 06418-1326 | 2020-03-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942839105 | Fnu Prinkiya | Student in an Organized Health Care Education/Training Program | Griffin Hospital. 130 Division St, Derby, CT 06418 | 2020-04-08 |
| 1942837935 | Ivanshi A Gondalia | Student in an Organized Health Care Education/Training Program | Griffin Hospital, 130 Division St, Derby, CT 06418 | 2020-03-27 |
| 1972168094 | Pir Saad | Student in an Organized Health Care Education/Training Program | C/o Margie Bliga, Department of Medical Education, Griffin Hospital, 130 Division St, Derby, CT 06418 | 2019-05-03 |
| 1295398899 | Ahtsham Yousaf Chaudhary | Student in an Organized Health Care Education/Training Program | 130 Division St, Griffin Hospital, Derby, CT 06418 | 2019-04-18 |
| 1477016376 | Rabia Usman | Student in an Organized Health Care Education/Training Program | 130 Division St. Griffin Hospital, Derby, CT 06418 | 2019-04-09 |
| 1932661428 | Meshal Qaiser | Student in an Organized Health Care Education/Training Program | 130 Division Street Griffin Hospital, Derby, CT 06418 | 2019-04-03 |
| 1275027666 | Victoria Anne Hodge Enquist | Social Worker | 241 Seymour Avenue, Griffin Hospital Iop, Seymour, CT 06418 | 2018-06-19 |
| 1811485758 | Nimeshayan Varatharajah | Student in an Organized Health Care Education/Training Program | Griffin Hospital, 130 Division St., Derby, CT 06418 | 2018-04-26 |
| 1851889836 | Pete Prashamsa Shenoy | Student in an Organized Health Care Education/Training Program | Griffin Hospital (dpt of Graduate Medical Education), 130 Division St., Derby, CT 06418 | 2018-04-25 |
| 1639696594 | Samantha Leigh Bassett | Counselor | 90 Sodom Lane, Derby, CT 06418 | 2017-08-23 |
| Find all providers in zip 06418 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972957090 | Julieta Maria Munoz Mejia | Internal Medicine | Griffin Hospital, 130 Division St, Derby, CT 06418-1326 | 2016-04-14 |
| 1528138435 | David Katz | Internal Medicine | 252 Seymour Ave, Derby, CT 06418 | 2006-11-08 |
| 1467548750 | Carlos Schweitzer | Internal Medicine | 300 Seymour Avenue, Derby, CT 06418 | 2006-10-05 |
| 1871576645 | Robert William Wood | Internal Medicine | 2338 Us Rt#5, Derby, VT 05829-0646 | 2005-11-25 |
| 1104347665 | Mukesh Kumar | Internal Medicine | 130 Division St, Derby, CT 06418-1326 | 2017-07-05 |
| 1609220722 | Jorge Augusto Aguilar Espinal | Internal Medicine | 130 Division St, Derby, CT 06418-1326 | 2016-04-14 |
| 1477935971 | Niloufarsadat Yarandi | Internal Medicine | 130 Division St, Derby, CT 06418-1326 | 2015-06-22 |
| 1679954770 | Esmaeel Rahmani | Internal Medicine | 130 Division St, Derby, CT 06418-1326 | 2015-06-15 |
| 1306280904 | Aartee Deshpande | Internal Medicine | 130 Division St, Derby, CT 06418-1326 | 2013-04-25 |
| 1104176122 | Yiannis Apergis | Internal Medicine | 130 Division St, Derby, CT 06418-1326 | 2012-09-18 |
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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.