DR. THERESA GRAY (NPI# 1386025377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386025377 |
| Entity Type | Individual |
| Full Name | DR. THERESA GRAY |
| Credential | DPM |
| Practice Address |
3522 W Lisbon Ave Milwaukee WI 53208-1953 |
| Practice Telephone | 4149358000 |
| Practice Fax Number | 4143443350 |
| Mailing Telephone | 4149358000 |
| Mailing Fax Number | 4143443149 |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2020-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 1111-25 | WI | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
1111-25 | WI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 100076793 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2525 N Mayfair Rd Ste 80, Wauwatosa, WI 53226 | 4143269034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972807246 | Theresa Gray | Counselor | 5012 S La Brea Ave Ste 2, Los Angeles, CA 90056-1863 | 2010-12-30 |
| 1619462132 | Theresa Gray | Social Worker | 4595 Towne Lake Parkway, Building 300, Suite 250, Woodstock, GA 30189 | 2018-06-27 |
| 1104205392 | Theresa Ann Gray | Registered Nurse | 1200 N West Ave, Jackson, MI 49202-2179 | 2015-05-21 |
| 1891959102 | Theresa Gray | Physician Assistant | 19485 Old Jetton Rd Ste 100, Cornelius, NC 28031-6583 | 2008-07-16 |
| Street Address |
3522 W LISBON AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53208-1953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215915194 | Benjamin Salazar Yabut Jr. | Family Medicine | 3522 W Lisbon Ave, Milwaukee, WI 53208-1953 | 2006-01-03 |
| 1508492885 | Max Carpenter | Dentist | 3522 W Lisbon Ave, Milwaukee, WI 53208-1953 | 2020-03-18 |
| 1538712658 | Joshua David Spierer | Social Worker | 3522 W Lisbon Ave, Milwaukee, WI 53208-1953 | 2019-07-17 |
| 1477106730 | Toni Delagardelle | Nurse Practitioner | 3522 W Lisbon Ave, Milwaukee, WI 53208-1953 | 2019-07-16 |
| 1477114452 | Samantha Ellen Neuroth | Dental Hygienist | 3522 W Lisbon Ave, Milwaukee, WI 53208-1953 | 2019-06-21 |
| 1376014563 | Shannon M Engel | Dental Hygienist | 3522 W Lisbon Ave, Milwaukee, WI 53208-1953 | 2018-12-16 |
| 1831675362 | Francesca Napolitano | Pharmacist | 3522 W Lisbon Ave, Milwaukee, WI 53208-1953 | 2018-07-18 |
| 1508382276 | Smriti Madrecha | Dentist | 3522 W Lisbon Ave, Milwaukee, WI 53208 | 2017-08-15 |
| 1588103097 | Jason Holt | Dentist | 3522 W Lisbon Ave, Milwaukee, WI 53208-1953 | 2017-02-16 |
| 1972058824 | Courtney L Schmitz | Nurse Practitioner | 3522 W Lisbon Ave, Milwaukee, WI 53208 | 2016-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831662535 | Mary Ehrgood | Marriage & Family Therapist | Aurora Family Service, 3200 W Highland Blvd, Milwaukee, WI 53208 | 2019-01-04 |
| 1265976989 | Redeeming Hearts Home Care Agency, LLC | Home Health | 3223 W Lloyd St, Milwaukee, WI 53208 | 2016-12-14 |
| 1205379500 | Benjamin Michael Bleck-owens | Counselor | 5508 W. Vliet Street, Milwaukee, WI 53208 | 2016-11-18 |
| 1730552662 | John Bosnjak | Pharmacist | 3727 W. Wisconsin Ave., Milwaukee, WI 53208 | 2015-10-30 |
| 1588074991 | Quad/med, LLC | Clinic/Center | 1301 West Canal Street, Milwaukee, WI 53208 | 2014-05-07 |
| 1629407226 | Dhanya Jayadevan Nair | Marriage & Family Therapist | 3200 W. Highland Blvd., Milwaukee, WI 53208 | 2013-11-04 |
| 1619215704 | Nurturing Concepts LLC | In Home Supportive Care | 5722 W North Ave, Milwaukee, WI 53208 | 2013-01-23 |
| 1831447986 | Amy Schuldt | Registered Nurse | 3727 W. Wisconsin Aveune, Milwaukee, WI 53208 | 2012-08-21 |
| 1144588922 | Grassroots Empowerment Project Inc | Community Health Worker | 3732 W Wisconsin Ave, Milwaukee, WI 53208 | 2012-04-30 |
| 1245468180 | Elizabeth Adams | Registered Nurse | 1917 N 34 Th St, Milwaukee, WI 53208 | 2009-06-30 |
| Find all providers in zip 53208 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043482417 | Ambulatory Surgery, Inc | Podiatrist | 10150 W National Ave Ste 350, Milwaukee, WI 53227-2153 | 2008-03-26 |
| 1114048204 | Ronald J Wroblewski | Podiatrist | 7635 W Oklahoma Ave Ste 109, Milwaukee, WI 53219-3623 | 2007-04-03 |
| 1346347341 | Charles M Carton Jr. | Podiatrist | 6230 W Capitol Drive, Milwaukee, WI 53216-2122 | 2006-09-20 |
| 1356372866 | R Flippin Sc | Podiatrist | 3915 W Capitol Dr, Milwaukee, WI 53216-2528 | 2006-07-05 |
| 1124689393 | Joseph Francis Albers | Podiatrist | 2301 N Lake Dr, Milwaukee, WI 53211-4508 | 2019-06-27 |
| 1497316384 | David Henry Sved | Podiatrist | 2301 N Lake Dr, Milwaukee, WI 53211-4508 | 2019-06-22 |
| 1578039053 | Steven A Tocci | Podiatrist | 2301 N Lake Dr, Milwaukee, WI 53211-4508 | 2018-10-22 |
| 1609361070 | Pulin Joshi | Podiatrist | 2301 N Lake Dr, Milwaukee, WI 53211-4508 | 2018-06-27 |
| 1255877643 | Jordan Sullivan | Podiatrist | 2301 N Lake Dr, Podiatric Residency Office, Milwaukee, WI 53211-4508 | 2017-01-10 |
| 1003360561 | Laith Shaman | Podiatrist | 1271 N 6th St, Milwaukee, WI 53212-3360 | 2016-08-12 |
| Find all providers in MILWAUKEE | ||||
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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.