ANDREA V GRAY (NPI# 1104818020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104818020 |
| Entity Type | Individual |
| Full Name | ANDREA V GRAY |
| Credential | MD |
| Practice Address |
2995 Nw Edenbower Blvd Roseburg OR 97471-6209 |
| Practice Telephone | 5419575400 |
| Practice Fax Number | 5414401010 |
| Mailing Telephone | 5419575400 |
| Mailing Fax Number | 5414401010 |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2013-05-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | MD21540 | OR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154658565 | Andrea Marie Gray | Social Worker | 1152 Rockland St, Rockport, ME 04856-6304 | 2009-11-05 |
| 1336108612 | Andrea B Gray | Audiologist | 823 Park East Blvd Ste H, Lafayette, IN 47905-0811 | 2006-03-23 |
| 1396362307 | Andrea L Gray | Pharmacist | 600 Highland Ave, Madison, WI 53792-0001 | 2020-06-26 |
| 1700324357 | Andrea L Gray | Social Worker | 601 S Edwin C Moses Blvd, Samaritan Behavioral Health, Inc., Dayton, OH 45417-3424 | 2017-02-03 |
| 1316360803 | Andrea Lynn Gray | Nurse Practitioner | 110 Ne Saint Lukes Blvd, Suite 530, Lees Summit, MO 64086 | 2014-02-04 |
| 1669759973 | Andrea Gray | Case Manager/Care Coordinator | 1900 10th St, Alamogordo, NM 88310-5053 | 2011-11-15 |
| 1114211539 | Andrea Gray | Psychologist | 2841 Thousand Acres Rd, Delanson, NY 12053-1917 | 2011-06-02 |
| 1588989347 | Andrea Jean Gray | Massage Therapist | 833 Route 28, S Yarmouth, MA 02664-5254 | 2010-04-05 |
| 1760717748 | Andrea H.e Gray | Pediatrics | 215 E 95th St, New York, NY 10128-4077 | 2009-10-09 |
| 1669553418 | Andrea Gray | Pediatrics | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2006-10-18 |
| Street Address |
2995 NW EDENBOWER BLVD |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97471-6209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477538627 | Francisco J Garcia-ferrer | Ophthalmology | 2995 Nw Edenbower Blvd, Roseburg, OR 97471-6209 | 2005-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805660 | Rae Ann Barnes | Pharmacist | 913 Ne Garden Valley Blvd, Pharmacy, Roseburg, OR 97471 | 2020-09-09 |
| 1023651031 | Colton Phillips | Behavioral Analyst | 940 Nw Garden Valley Bvld #104, Roseburg, OR 97471 | 2019-10-22 |
| 1952884876 | Meredith Krugel Lcsw PC | Clinic/Center | 2225 Nw Stewart Parkway Ste 200, Roseburg, OR 97471 | 2018-09-07 |
| 1114456563 | Philip Kaser Family, LLC | Pharmacy | 1175 W. Harvard Avenue, Roseburg, OR 97471 | 2017-06-08 |
| 1053854208 | Icco LLC | Clinic/Center | 1740 Nw Goetz Street, Roseburg, OR 97471 | 2016-11-21 |
| 1770034589 | Evie Jepsen | Case Manager/Care Coordinator | 2700 Stewart Parkway Annex B, Suite 110, Roseburg, OR 97471 | 2016-10-17 |
| 1932551256 | Jonathan Schmidt | Licensed Practical Nurse | 913 Nm Garden Valley Blvd, Va Roseburg Medical Center, Roseburg, OR 97471 | 2016-07-11 |
| 1932580586 | Jeffrey Mark Wareham | Case Manager/Care Coordinator | 2700 Medical Loop, Annex B, Roseburg, OR 97471 | 2015-06-09 |
| 1558784215 | Ginger Jean Thibedeau | Massage Therapist | 3019 Nw Stewart Parkway, Suite 304 #183, Roseburg, OR 97471 | 2014-01-30 |
| 1427303122 | Karishma Parekh | Internal Medicine | 2460 Nw Stewart Pkwy Ste 103, Roseburg, OR 97471 | 2012-07-18 |
| Find all providers in zip 97471 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922483130 | Bradley Seely Md PC | Ophthalmology | 341 Nw Medical Loop Ste 120, Roseburg, OR 97471-5546 | 2015-07-29 |
| 1245547744 | Centennial Medical Group West, LLC | Ophthalmology | 2801 Nw Mercy Dr., Ste. 340, Roseburg, OR 97471 | 2010-09-03 |
| 1467434969 | Stewart M Wilson Jr. | Ophthalmology | 341 Medical Loop, Ste 120, Roseburg, OR 97471-5546 | 2005-11-18 |
| 1629072053 | Jon-marc Weston | Ophthalmology | 2435 Nw Kline St, Roseburg, OR 97471-1690 | 2005-06-13 |
| 1093166191 | Alexander Willoughby | Ophthalmology | 341 Nw Medical Loop Ste 120, Roseburg, OR 97471-5546 | 2016-06-29 |
| 1831400738 | Judith Sabah | Ophthalmology | 913 Nw Garden Valley Blvd, Roseburg, OR 97471-6523 | 2010-06-24 |
| 1316043979 | Roseburg Clinic, P.C. | Ophthalmology | 341 Medical Loop, Ste 120, Roseburg, OR 97471-5546 | 2006-09-14 |
| 1720015472 | Jon Charles Burpee | Ophthalmology | 2750 W Harvard Ave, Roseburg, OR 97470-2608 | 2006-06-27 |
| 1477538627 | Francisco J Garcia-ferrer | Ophthalmology | 2995 Nw Edenbower Blvd, Roseburg, OR 97471-6209 | 2005-12-09 |
| 1346224201 | Patrick J Gregg | Ophthalmology | 341 Medical Loop, Suite 120, Roseburg, OR 97471-5540 | 2005-12-05 |
| Find all providers in ROSEBURG | ||||
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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.