DR. SAMUEL GRAY (NPI# 1184088486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184088486 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL GRAY |
| Other Name | MR. SAMUEL THOMAS GAY |
| Credential | D.P.M. |
| Practice Address |
46090 Lake Center Plz Ste 204 Sterling VA 20165-5878 |
| Mailing Address |
7850 Newport Glen Pass Annandale VA 22003-1561 |
| Practice Telephone | 7035392036 |
| Practice Fax Number | 7035632716 |
| Mailing Telephone | 9172380909 |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2019-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
0103301267 | VA | Podiatric Medicine & Surgery Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3300 Gallows Rd, Falls Church, VA 220423307 | 7037764001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992063812 | Samuel Gray IIi | Internal Medicine | 1009 Wilkins Heights Rd, Pittsburgh, PA 15217-1026 | 2012-04-28 |
| 1629091459 | Samuel M. Gray | Internal Medicine | 512 E Broad St, Westfield, NJ 07090-2116 | 2006-07-25 |
| 1467407908 | Samuel Bemiss Gray | Psychologist | 2910 Briarcliffe Rd Ste A, Winston Salem, NC 27106-3177 | 2006-05-23 |
| 1508420753 | Samuel Lee Gray | Counselor | 2090 Commerce Ave, Concord, CA 94520-4902 | 2019-04-23 |
| 1710447859 | Samuel Gray | Counselor | 867 Lafayette Rd, Seabrook, NH 03874-4217 | 2019-03-24 |
| 1366901332 | Samuel Allen Gray | Student in an Organized Health Care Education/Training Program | 2333 Biddle Ave, Wyandotte, MI 48192-4668 | 2019-03-18 |
| 1588090716 | Samuel Edward Gray | Case Manager/Care Coordinator | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2013-09-19 |
| 1467792317 | Samuel Clyde Gray | Counselor | 2523 Us Highway 27 S, Suite 130, Avon Park, FL 33825-7744 | 2013-02-28 |
| 1992834535 | Samuel Adam Gray | Chiropractor | 2801 Elizabeth Lake Road, Suite 100, Waterford, MI 48328 | 2007-03-02 |
| 1689633091 | Samuel E Gray | Obstetrics & Gynecology | 2006 Brookwood Medical Ctr Dr, S 310 Wmp, Birmingham, AL 35209 | 2006-03-23 |
| Street Address |
46090 LAKE CENTER PLZ STE 204 |
| City | STERLING |
| State | VA |
| Zip Code | 20165-5878 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730748336 | Sterling Foot and Ankle Center | Podiatrist | 46090 Lake Center Plz Ste 204, Sterling, VA 20165-5878 | 2019-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578042073 | Potomac Speech, LLC | Clinic/Center | 20657 Shoal Place, Sterling, VA 20165 | 2018-08-07 |
| 1386138600 | Jennifer M Bennett | Specialist | 46691 Cavendish Sq, Sterling, VA 20165 | 2018-06-20 |
| 1689163271 | Horizon Healthcare Professionals, LLC | Registered Nurse | 6 Pidgeon Hill Dr Ste 309, Sterling, VA 20165 | 2018-05-09 |
| 1336668573 | Jennifer Beatriz Henriquez | Student in an Organized Health Care Education/Training Program | 88 Bickel Ct, Sterling, VA 20165 | 2017-09-19 |
| 1134648413 | Alannah Angels Care, LLC | Home Health | 47672 Comer Sq, Sterling, VA 20165 | 2017-09-18 |
| 1215472709 | Hiba Aljumaah | Non-emergency Medical Transport (VAN) | 20829 Miranda Falls Sq, Sterling, VA 20165 | 2016-12-20 |
| 1629465299 | The Key Center of Florida | Health Maintenance Organization | 21155 Whitfield Pl 206, Sterling, VA 20165 | 2015-04-22 |
| 1740679265 | Shahla Zamani | Pharmacist | 46380 Monocacy Square, Potomac Falls, VA 20165 | 2015-01-21 |
| 1598006785 | Jeanine Marie Burke | Physical Therapist | 2 Pidgeon Hill Dr Ste 350, Sterling, VA 20165 | 2013-03-13 |
| 1134464126 | Faisal Hasan | Specialist | 46770 Willowood Place, Potomac Falls, VA 20165 | 2012-12-03 |
| Find all providers in zip 20165 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730748336 | Sterling Foot and Ankle Center | Podiatrist | 46090 Lake Center Plz Ste 204, Sterling, VA 20165-5878 | 2019-06-07 |
| 1942511613 | Sabina Malhotra | Podiatrist | 21475 Ridgetop Cir, Suite 150, Sterling, VA 20166-6580 | 2010-06-28 |
| 1396922639 | Eric K. Riley | Podiatrist | 101 E Miller Rd, Sterling, IL 61081-1252 | 2008-01-29 |
| 1427049766 | Mark D Dollard | Podiatrist | 46440 Benedict Dr, Suite 111, Sterling, VA 20164-6602 | 2005-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909228 | The Ankle and Foot Clinic of Northern Virginia, Pllc | Podiatrist | 12628 Tide View Ct, Bristow, VA 20136-1175 | 2020-10-09 |
| 1912542713 | Michael A Dente Jr Dpm Plc | Podiatrist | 356 Mclaws Cir Ste 1, Williamsburg, VA 23185-6345 | 2019-11-15 |
| 1609431964 | Ana Anahit Emirzian | Podiatrist | 3300 Gallows Road, Original Building, Falls Church, VA 22042-3307 | 2019-05-02 |
| 1508329913 | District Foot and Ankle | Podiatrist | 4875 Eisenhower Ave Ste 230, Alexandria, VA 22304-4833 | 2019-04-11 |
| 1104300359 | Vineela Ayyagari | Podiatrist | 9017 Fletcher Farm Ct, Manassas, VA 20112-5867 | 2018-09-23 |
| 1083137871 | Rural Podiatry, LLC | Podiatrist | 7010 Mountain Rd, Halifax, VA 24558-2392 | 2017-07-24 |
| 1356863781 | Chen Foot & Ankle Center LLC | Podiatrist | 1948 Jenkins Mill Rd, Suffolk, VA 23437-9401 | 2017-07-07 |
| 1568982247 | Soumaya Bader | Podiatrist | 632 Cedar Rd Ste B, Chesapeake, VA 23322-8376 | 2017-06-22 |
| 1013440569 | Richard Bruno | Podiatrist | 2790 Godwin Blvd Ste 355, Suffolk, VA 23434-8173 | 2017-04-11 |
| 1497289961 | David Chan | Podiatrist | 224d Cornwall St Nw # 203100, Leesburg, VA 20176-2713 | 2017-04-11 |
| Find all providers with the same taxonomy | ||||
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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.