TYLER DAVID GRAY


Address: 121 Everett Rd Ste 100, Albany, NY 12205-1447
Phone: 5184539088

TYLER DAVID GRAY (NPI# 1083231369) 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) 1083231369
Entity Type Individual
Full Name TYLER DAVID GRAY
Credential PA
Practice Address 121 Everett Rd Ste 100
Albany
NY 12205-1447
Practice Telephone 5184539088
Practice Fax Number 5186893817
Mailing Telephone 5184539088
Mailing Fax Number 5186893817
Enumeration Date 2020-07-02
Last Update Date 2020-07-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY NYS LICENSE 025133 01

Other Providers TYLER GRAY

NPI Name Taxonomy Address Enumeration
1699901363 Tyler Thomas Gray Family Medicine 1108 June St, Hood River, OR 97031-1513 2009-06-08

Office Location

Street Address 121 EVERETT RD STE 100
City ALBANY
State NY
Zip Code 12205-1447

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174814933 Farrukh Aziz Ansari Anesthesiology 121 Everett Rd Ste 100, Albany, NY 12205-1447 2011-04-28
1942816368 Brian D Klassner Physician Assistant 121 Everett Rd Ste 100, Albany, NY 12205-1447 2020-09-21
1114535077 Jonathan Stephens Physician Assistant 121 Everett Rd Ste 100, Albany, NY 12205-1447 2020-07-16
1588155865 Joseph Isgro Physician Assistant 121 Everett Rd Ste 100, Albany, NY 12205-1447 2018-05-23
1477044766 Elise Moinzadeh Physician Assistant 121 Everett Rd Ste 100, Albany, NY 12205 2018-05-23
1437401312 Christopher Szczesniak Physician Assistant 121 Everett Rd Ste 100, Albany, NY 12205-1447 2012-10-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518564053 Capital Regional Rx LLC Pharmacy 431 New Karner Road Bldg#4 Suite 180, Albany, NY 12205 2020-10-07
1548722549 The Alternative Living Group, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 500 New Karner Road, Suite 3, Albany, NY 12205 2019-04-01
1003398439 Sarah Itwaru Social Worker 401 New Karner Road, Albany, NY 12205 2018-09-01
1740708106 Kenneth Cook Physician Assistant 121everett Rd, Albany, NY 12205 2017-09-06
1437691839 Sarah Avery Physical Therapist 5 S Family Dr, Colonie, NY 12205 2016-11-16
1063892776 Olsen Medical Sales, LLC Durable Medical Equipment & Medical Supplies 98 Everett Rd, Albany, NY 12205 2015-06-08
1972921484 Alixandra Joy Foisy Social Worker 42 Oakwood Dr, Albany, NY 12205 2014-04-01
1780015206 The Promptcare Companies Durable Medical Equipment & Medical Supplies 1015c Central Avenue, Albany, NY 12205 2013-12-09
1396088332 Early Childhood Education Center Day Training, Developmentally Disabled Services 251 Washington Ave Extension, Albany, NY 12205 2013-03-28
1487906707 Centerfordisabiltyservices Preferred Provider Organization 5 Keller Street, Albany, NY 12205 2012-10-10
Find all providers in zip 12205

Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912486747 Karen Duane Physician Assistant 48 New Scotland Ave, Albany, NY 12208 2018-08-13
1740708106 Kenneth Cook Physician Assistant 121everett Rd, Albany, NY 12205 2017-09-06
1356722714 Megan Weitzel Physician Assistant 50 New Scotland Ave # Mc-190, Albany, NY 12208-3403 2015-06-11
1063899847 Philip Rabadi Physician Assistant 27 Westlyn Ct, Albany, NY 12203-3463 2015-04-30
1467885459 Heather Freeman Physician Assistant 1980 Western Ave, Apt 731, Albany, NY 12203-5051 2013-08-14
1861509531 Tracy Dee Amsden Physician Assistant 1365 Washington Ave Ste 300, Albany, NY 12206-1098 2006-08-25
1124015748 Dan C West Physician Assistant 605 N Westover Blvd, Albany, GA 31707-2188 2005-09-29
1750378329 Sheri B Smith Physician Assistant 2311 Lake Park Drive, Albany, GA 31707 2005-09-29
1942816368 Brian D Klassner Physician Assistant 121 Everett Rd Ste 100, Albany, NY 12205-1447 2020-09-21
1114535077 Jonathan Stephens Physician Assistant 121 Everett Rd Ste 100, Albany, NY 12205-1447 2020-07-16
Find all providers in ALBANY

Competitor

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City ALBANY
Zip Code 12205

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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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