MR. ILYO LLOYD MCCRAY (NPI# 1063524452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063524452 |
| Entity Type | Individual |
| Full Name | MR. ILYO LLOYD MCCRAY |
| Credential | PA-C |
| Practice Address |
162 Hegeman Ave Colchester VT 05446-3156 |
| Mailing Address |
64 East Shore Road So. Grand Isle VT 05458 |
| Practice Telephone | 8022959363 |
| Practice Fax Number | 8016551231 |
| Mailing Telephone | 8023724875 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0550030031 | VT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
162 HEGEMAN AVE |
| City | COLCHESTER |
| State | VT |
| Zip Code | 05446-3156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609887066 | Diane Irene Muhr | Audiologist | 162 Hegeman Ave, Colchester, VT 05446-3156 | 2006-08-11 |
| 1336222611 | Clifford Trott Jr. | Psychologist | 162 Hegeman Ave, Colchester, VT 05446-3156 | 2006-10-23 |
| 1134202492 | Gordon E Maynard | Social Worker | 162 Hegeman Ave, Suite 100, Colchester, VT 05446-3156 | 2006-10-23 |
| 1285736090 | Kathryn Gonzalez | Internal Medicine | 162 Hegeman Ave, #100, Colchester, VT 05446-3156 | 2006-09-02 |
| 1336152339 | Jonathan Samuel Cohen | Internal Medicine | 162 Hegeman Ave, Colchester, VT 05446-3156 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174130157 | Justin Michael Boufford | Pharmacist | 218 Lower Mountian View Dr., Colchester, VT 05446 | 2020-09-24 |
| 1174154991 | The Vermont Center for Responder Wellness | Social Worker | 162 Hegeman Avenue, Suite 100, Colchester, VT 05446 | 2020-01-30 |
| 1972011047 | Erin Lee Murphy | Speech-Language Pathologist | 131 Laker Lane, Colchester, VT 05446 | 2018-01-11 |
| 1821535204 | Zoe Walsh | Specialist/Technologist | 131 Laker Ln, Colchester, VT 05446 | 2017-01-24 |
| 1407262827 | Charlotte M Church | Dentist | 416 Roosevelt Hwy Ste 201, Colchester, VT 05446 | 2014-07-07 |
| 1215251681 | Courtney Joy Brink | Speech-Language Pathologist | 1100 Prim Rd, Colchester, VT 05446 | 2010-03-15 |
| 1316170343 | Alexis Brooke Ressler | Nurse Practitioner | 729 Colchester Parkway, Medical Office Building, Suite 205, Colchester, VT 05446 | 2009-08-25 |
| 1659539393 | Deborah Kalamasz | Speech-Language Pathologist | 11102 Ethan Allen Ave, Colchester, VT 05446 | 2008-05-29 |
| 1235356700 | Angelo Marinakis | Chiropractor | 85 Prim Road, Suite 401, Colchester, VT 05446 | 2007-04-19 |
| 1629292719 | Susan Mary Coleman | Occupational Therapist | 800 Middle Road, Colchester, VT 05446 | 2007-04-12 |
| Find all providers in zip 05446 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518128347 | Janet L. Burton | Physician Assistant | 386 Cabin Rd, Colchester, CT 06415-1508 | 2008-06-24 |
| 1396754008 | Mary Elizabeth Hughes | Physician Assistant | 354 Mountain View Dr Ste 300, Four Seasons Dermatology, Colchester, VT 05446-5988 | 2006-08-05 |
| 1992064489 | Erin Elizabeth Primiano | Physician Assistant | 354 Mountain View Dr, Suite 300, Colchester, VT 05446-5988 | 2012-05-03 |
| 1982706990 | Laura C Popeleski | Physician Assistant | 163 Broadway St, Colchester, CT 06415-1022 | 2006-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326457060 | Elizabeth Afanasyev | Physician Assistant | 1311 Barre-montpelier Road Suite 200, Berlin, VT 05602 | 2014-08-06 |
| 1770850216 | Lauren Jennifer Navas | Physician Assistant | 100 River St Ste 2, Springfield, VT 05156-2930 | 2011-11-29 |
| 1245554575 | Blue Collar Medicine | Physician Assistant | 36 Willey St, Barre, VT 05641-2500 | 2010-03-15 |
| 1770639247 | Elysabethe A James | Physician Assistant | 265 Aviation Ave, South Burlington, VT 05403-6060 | 2007-01-26 |
| 1407923329 | Martha Parnell Seagrave | Physician Assistant | 425 Pearl Street, Center for Health and Wellbeing, Burlington, VT 05401 | 2006-11-29 |
| 1639273246 | Tammy Michelle Gerdes | Physician Assistant | 1823 Vt Rte 107, Bethel, VT 05032-9107 | 2006-09-12 |
| 1174626089 | Patrick Heaney | Physician Assistant | 186 Medical Village Dr, Newport, VT 05855-8537 | 2006-09-06 |
| 1013938992 | Abigail Rose Brown | Physician Assistant | 173 S Main St, Rutland, VT 05701-4713 | 2006-07-23 |
| 1013973858 | Jeniane L. Rathburn | Physician Assistant | 201 E Main Street, Concord Health Center, Concord, VT 05824-0355 | 2006-04-21 |
| 1336104934 | Kylee J Ladd | Physician Assistant | 260 Crest Rd, Suite 101, Saint Albans, VT 05478-9503 | 2006-04-18 |
| Find all providers with the same taxonomy | ||||
| City | COLCHESTER |
| Zip Code | 05446 |
Please comment or provide details below to improve the information on MR. ILYO LLOYD MCCRAY.
| 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.