MR. JASPER EARL GRAY JR. (NPI# 1366729196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366729196 |
| Entity Type | Individual |
| Full Name | MR. JASPER EARL GRAY JR. |
| Practice Address |
3727 Weco St Whistler AL 36612-1155 |
| Mailing Address |
3727 Weco St Whistler AL 36612 |
| Practice Telephone | 2514589440 |
| Mailing Telephone | 2514589440 |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2011-11-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| Street Address |
3727 WECO ST |
| City | WHISTLER |
| State | AL |
| Zip Code | 36612-1155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033512231 | Arealle E. Franklin | Dentist | 4009 Saint Stephens Rd, Mobile, AL 36612 | 2014-10-01 |
| 1114961695 | Lauren Brooke Randall | Anesthesiologist Assistant | 12902 Magnolia Drive, Anesthesia; Moffitt Cancer Center, Tampa, FL 36612 | 2006-06-15 |
| 1033387436 | Greater Mobile Physicians for Women PC | Obstetrics & Gynecology | 4230 St Stephens Rd, Whistler, AL 36612-0000 | 2008-02-19 |
| 1851795975 | Rx Center Inc | Pharmacy | 3707 Saint Stephens Rd, Whistler, AL 36612-1225 | 2014-10-17 |
| 1245250729 | Donald E Scarcliff | Pharmacist | 3703 Saint Stephens Rd, Whistler, AL 36612-1225 | 2006-07-20 |
| 1083709521 | Mobile County Board of Health | Clinic/Center | 4009 Saint Stephens Rd, Mobile, AL 36612-1231 | 2006-10-03 |
| 1386756138 | Bio-medical Applications of Alabama Inc | Clinic/Center | 4016 Saint Stephens Rd, Whistler, AL 36612-1232 | 2006-08-31 |
| 1033212766 | Alabama Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 3445 St Stephens Rd, Prichard, AL 36612-1238 | 2006-09-07 |
| 1922444330 | Divine Touch Home Healthcare | Home Health Aide | 333 Fall Ave, Whistler, AL 36612-1506 | 2013-05-13 |
| 1326534967 | Lawander Lakesha Garmon | Technician | 2841 Warren St, Whistler, AL 36612-1515 | 2018-07-06 |
| Find all providers in zip 36612 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447669692 | Michael Watson | Military Health Care Provider | 1713 County Road 717, Enterprise, AL 36330-6105 | 2014-08-12 |
| 1821348244 | Shreece Duanyelle Woods | Military Health Care Provider | 215 Harvison Rd, Chatom, AL 36518-6209 | 2012-09-13 |
| 1598062069 | Billy Bell | Military Health Care Provider | 1138 Dock Lamb Rd, Pansey, AL 36370-6022 | 2011-02-18 |
| 1669772000 | Steven L Price | Military Health Care Provider | 5415 Earl St, Phenix City, AL 36867-7371 | 2010-11-02 |
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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.