DR. MARK B GRAY (NPI# 1447254222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447254222 |
| Entity Type | Individual |
| Full Name | DR. MARK B GRAY |
| Credential | MD |
| Practice Address |
12554 Riata Vista Cir Austin TX 78727-6431 |
| Practice Telephone | 5127955100 |
| Practice Fax Number | 5127955122 |
| Mailing Telephone | 5127955100 |
| Mailing Fax Number | 5127955122 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2015-01-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
G6520 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RRMCARE2 | 300127009 | 01 | |
| TX | CSHCN2 | 139655808 | 01 |
| TX | 139655809 | 05 | |
| TX | CSHCN1 | 139655815 | 01 |
| RRMCARE | 300058890 | 01 | |
| TX | 139655816 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043791262 | Mark Gray | Case Manager/Care Coordinator | 4601 E Admiral Doyle Dr, New Iberia, LA 70560 | 2018-08-25 |
| 1306088752 | Mark A. Gray | Dentist | 2257 Main St E, Snellville, GA 30078-3499 | 2009-04-01 |
| 1669656351 | Mark E. Gray | Chiropractor | 595 Park Ave Ste 101, San Jose, CA 95110-2641 | 2007-12-18 |
| 1144229410 | Mark Gray | Dentist | 1127 Eldridge Pkwy, Ste 1040, Houston, TX 77077-1773 | 2005-07-19 |
| 1427674514 | Mark Gray | Day Training/Habilitation Specialist | 804 Industrial Park Rd, Maxwelton, WV 24957-8066 | 2020-06-24 |
| 1730653932 | Mark Wayne Gray | Peer Specialist | 306 Airport Dr, Moncks Corner, SC 29461-2629 | 2019-01-22 |
| 1194174904 | Mark Gregory Gray II | Dentist | 200 Orchard Ave, Bridgeport, WV 26330-1737 | 2016-06-13 |
| 1063723476 | Mark A Gray | Chiropractor | 1025 Calimesa Blvd, Suite #1, Calimesa, CA 92320 | 2010-06-30 |
| 1346329398 | Mark Robert Gray | Counselor | 634 E 8th St, Port Angeles, WA 98362-6224 | 2006-11-02 |
| 1508827114 | Mark Gray | Obstetrics & Gynecology | 50 W 77th St, New York, NY 10024-5116 | 2006-03-31 |
| Street Address |
12554 RIATA VISTA CIR |
| City | AUSTIN |
| State | TX |
| Zip Code | 78727-6431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245233519 | Gregory C Karnaze | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2005-05-31 |
| 1548605983 | Dan Pong | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2013-04-29 |
| 1902240914 | Kellan Michael Schallert | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2013-04-21 |
| 1497098925 | Richard William Ahn | Radiology | 12554 Riata Vista Cir, Austin, TX 78727 | 2013-04-03 |
| 1578822979 | Ryan M. Durel | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2012-05-07 |
| 1790059921 | Daniel G Bloom | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2012-03-06 |
| 1841587474 | Nimisha Doshi Khanna | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2011-07-04 |
| 1295021616 | Stanislav I. Spiridonov | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2011-06-23 |
| 1760775134 | Aditi A Desai | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2011-05-18 |
| 1134412653 | Arthy Saravanan | Radiology | 12554 Riata Vista Cir, Austin, TX 78727 | 2011-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255953188 | Kassidy Lewis | Specialist/Technologist | 12708 Riata Vista Circle, A 106, Austin, TX 78727 | 2020-05-14 |
| 1922632405 | Little Light Aba, LLC | Behavioral Analyst | 6001 W Parmer Ln Ste 370 #3064, Austin, TX 78727 | 2020-02-24 |
| 1497239081 | Alison Laurie Cook | Speech-Language Pathologist | 13112 Kellies Farm Lane, Austin, TX 78727 | 2018-09-19 |
| 1326529371 | Excelsior Anesthesia Pllc | Anesthesiology | 12728 Council Bluff Dr, Austin, TX 78727 | 2018-08-28 |
| 1992227847 | Kathryn Ann Aldridge | Registered Nurse | 12608 Terra Nova Ln, Austin, TX 78727 | 2017-07-12 |
| 1912431404 | Harry Lundell | Counselor | 5404 Pony Chase, Austin, TX 78727 | 2017-04-12 |
| 1811364078 | Peoples Pharmacy | Pharmacy | 5505 W. Parmer Lane, Building 4, At Apple Wellness Center, Austin, TX 78727 | 2015-08-24 |
| 1346665080 | Emily Doubt Chiropractic Pllc | Chiropractor | 3951 W Parmer Ln Ste. 300, Austin, TX 78727 | 2014-03-04 |
| 1053689745 | Rahim & Karim, Inc | Durable Medical Equipment & Medical Supplies | 1914 W. Howard Lane, Suite C, Austin, TX 78727 | 2011-12-08 |
| 1538445937 | Thyroid Cytopathology Partners Pa | Pathology | 12357 A Riata Trace Parkway, Bldg. 5, Suite 100, Austin, TX 78727 | 2011-10-30 |
| Find all providers in zip 78727 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255525093 | Stanley H Kim, Md Pa | Radiology | 12180 N Mopac Expy Ste B, Austin, TX 78758-2909 | 2007-09-05 |
| 1346330099 | Sekhar S Rao | Radiology | 9424 Bing Cherry Ln, Austin, TX 78750-3446 | 2006-10-13 |
| 1245233519 | Gregory C Karnaze | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2005-05-31 |
| 1174834659 | Jefferson T. Miley, M.d.,p.a. | Radiology | 12180 N Mopac Expy, Ste B, Austin, TX 78758-2909 | 2010-06-29 |
| 1669704235 | Giovanni J Passanante | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2010-02-08 |
| 1841428364 | Robert I. Lieberman | Radiology | 12554 Riata Vista Circle, Austin, TX 78727-6431 | 2009-06-23 |
| 1962666321 | Vpa of Texas, Pllc | Radiology | 7800 Shoal Creek Blvd, Austin, TX 78757-1098 | 2008-07-15 |
| 1962678490 | Murali A. Ranjithan | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2008-05-05 |
| 1073715884 | Michael A. Jaimes | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2007-06-04 |
| 1265436893 | John Manning | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2005-06-10 |
| Find all providers in AUSTIN | ||||
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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.