WILLIAM GRAY (NPI# 1114378882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114378882 |
| Entity Type | Individual |
| Full Name | WILLIAM GRAY |
| Credential | D.O. |
| Practice Address |
405 W Jackson St Carbondale IL 62901 |
| Mailing Address |
405 W Jackson St Carbondale IL 62901-1462 |
| Practice Telephone | 6155490721 |
| Practice Fax Number | 6185290479 |
| Mailing Telephone | 6185490721 |
| Mailing Fax Number | 6185290479 |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2019-09-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 2016020051 | MO | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 036150636 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE MULTISPECIALTY GROUP PTAN | 214881 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2345 Dougherty Ferry Rd, Saint Louis, MO 631223313 | 3149669100 | |
| 2 S Hospital Dr, Murphysboro, IL 629663333 | 6186843156 | 6186811040 |
| 201 S 14th St, Herrin, IL 629483631 | 6189422171 | 6189886166 |
| 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 |
| 1407203466 | William Hampton Gray | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1520 San Pablo St, Healthcare Consultation Center II Suite 4300, Los Angeles, CA 90033-5310 | 2016-05-19 |
| Street Address |
405 W JACKSON ST |
| City | CARBONDALE |
| State | IL |
| Zip Code | 62901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194726851 | Shahriar Bozorgzadeh | Emergency Medicine | 405 W Jackson St, Carbondale, IL 62901-1462 | 2005-08-03 |
| 1568071132 | Cynthia Sue Davis | Nurse Practitioner | 405 W Jackson St, Carbondale, IL 62901-1462 | 2020-07-29 |
| 1629686019 | Dianne Zuasula Catolos | Physical Therapist | 405 W Jackson St, Carbondale, IL 62901-1462 | 2020-07-21 |
| 1871113696 | Summer R Black | Nurse Anesthetist, Certified Registered | 405 W Jackson St, Carbondale, IL 62901-1462 | 2020-04-22 |
| 1871123067 | Hailee Elizabeth Bowlin | Nurse Practitioner | 405 W Jackson St, Carbondale, IL 62901-1462 | 2020-01-16 |
| 1972061737 | Briana Nichole Jones | Speech-Language Pathologist | 405 W Jackson St, Carbondale, IL 62901-1462 | 2019-03-11 |
| 1700362183 | John Grady Johnston Jr. | Registered Nurse | 405 W Jackson St, Carbondale, IL 62901 | 2018-07-18 |
| 1972099067 | Andrew Mcnally | Nurse Anesthetist, Certified Registered | 405 W Jackson St, Carbondale, IL 62901-1462 | 2018-07-02 |
| 1134610587 | Megan E Sims | Nurse Anesthetist, Certified Registered | 405 W Jackson St, Carbondale, IL 62901-1462 | 2018-05-22 |
| 1447749833 | Erika Diericx | Pharmacist | 405 W Jackson St, Carbondale, IL 62901-1462 | 2018-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961268 | Gerad Aaron Harsy | Pharmacist | Walmart Pharmcy, 1450 East Main St, Carbondale, IL 62901 | 2020-10-30 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1306317383 | Rachael O Johnson | Nurse Practitioner | 404 S. Lewis Ln, Carbondale, IL 62901 | 2018-12-17 |
| 1740795194 | Megan Marie Zimmerman | Nurse Practitioner | 1100 W Diann Ln., Carbondale, IL 62901 | 2017-12-07 |
| 1295244242 | Amy Elizabeth Prudencio | Social Worker | 1301 E. Walnut Street, Carbondale, IL 62901 | 2017-09-21 |
| 1740708171 | Theresa Aleise Goodin | Speech-Language Pathologist | 1301 East Walnut Street, Carbondale, IL 62901 | 2017-09-06 |
| 1144762527 | Kathleen Chwalisz Rigney | Psychologist | 306 West Mill Street, Neurorestorative, Carbondale, IL 62901 | 2016-11-16 |
| 1285185173 | Shawnee Health Service and Development Corp | Social Worker | 404 S. Lewis Lane, Carbondale, IL 62901 | 2016-10-17 |
| 1437605094 | Arielle Greer | Nurse's Aide | 510 E. Russell St., A, Carbondale, IL 62901 | 2016-09-01 |
| 1518413863 | Complete Family Eyecare of Carbondale, PC | Optometrist | 1241 East Walnut Street, Carbondale, IL 62901 | 2016-08-28 |
| Find all providers in zip 62901 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124463401 | Forte Hospitalist Services, LLC | Hospitalist | 2250 N. Illinois Ave., Carbondale, IL 62901 | 2013-05-01 |
| 1669926424 | Granite City Hospitalist Services LLC | Hospitalist | 2250 N Illinois Ave, Carbondale, IL 62901-5612 | 2016-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902397078 | Rebecca Abraham | Hospitalist | 5145 N California Ave Ofc M331, Chicago, IL 60625 | 2018-05-24 |
| 1780128231 | A.m. Healthcare Inc | Hospitalist | 17 E 22nd Pl, Sterling, IL 61081-1263 | 2016-12-16 |
| 1265989875 | Advance Inpatient Medicine LLC | Hospitalist | 903 Commerce Drive, Suite 333, Oak Brook, IL 60523 | 2016-09-01 |
| 1164888939 | Inpatient Consultants of Illinois, P.C. | Hospitalist | 1333 Butterfield Rd Ste 130, Downers Grove, IL 60515-5641 | 2016-01-11 |
| 1437544764 | Victoria Grace Behrend | Hospitalist | 259 East Erie St, Chicago, IL 60611 | 2015-04-02 |
| 1881088995 | Raksha Nepal | Hospitalist | 4440w 95th St, Oak Lawn, IL 60453-2600 | 2015-03-26 |
| 1639562267 | Alexandra Steverson | Hospitalist | 2322 N Commonwealth Ave Apt 314, Chicago, IL 60614-3408 | 2015-03-06 |
| 1710398474 | Andrew Shabila | Hospitalist | 9977 Woods Dr Ste B70, Skokie, IL 60077-1057 | 2014-05-15 |
| 1255774527 | Ketevan Gvalia | Hospitalist | 170 W Polk St Apt 1007, Chicago, IL 60605 | 2013-04-16 |
| 1518200468 | Amanda Bradke | Hospitalist | 1700 W Van Buren St Ste 500, Chicago, IL 60612 | 2013-03-28 |
| Find all providers with the same taxonomy | ||||
| City | CARBONDALE |
| Zip Code | 62901 |
Please comment or provide details below to improve the information on WILLIAM GRAY.
| 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.