DR. DIANA LEE GRAY (NPI# 1447278916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447278916 |
Entity Type | Individual |
Full Name | DR. DIANA LEE GRAY |
Credential | MD |
Practice Address |
4901 Forest Park Ave Ste 710 Ste 710 Saint Louis MO 63108-1402 |
Mailing Address |
660 S Euclid Ave C B 8064 Saint Louis MO 63110-1010 |
Practice Telephone | 3144548181 |
Practice Fax Number | 3147471429 |
Mailing Telephone | 3144548181 |
Mailing Fax Number | 3144547358 |
Enumeration Date | 2006-07-17 |
Last Update Date | 2018-01-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
R6E29 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 202119004 | 05 | |
IL | ENROLLED | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629525977 | Diana Gray | Psychologist | 601 Sandy Bay Ter, Rockport, MA 01966-2061 | 2016-09-03 |
1821317918 | Diana Gray | Psychologist | 4214 18th St, San Francisco, CA 94114-2410 | 2010-05-28 |
1952551590 | Diana C Gray | Physical Therapist | 11135 Manchester Rd, Saint Louis, MO 63122-1253 | 2008-09-19 |
Street Address |
4901 FOREST PARK AVE STE 710 STE 710 |
City | SAINT LOUIS |
State | MO |
Zip Code | 63108-1402 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386647345 | George A Macones | Obstetrics & Gynecology | 4901 Forest Park Ave Ste 710, Ste 710, Saint Louis, MO 63108-1402 | 2005-05-24 |
1346751997 | Danielle Nichole Turnbull | Nurse Practitioner | 4901 Forest Park Ave Ste 710, Ste 710, Saint Louis, MO 63108-1402 | 2017-10-22 |
1538697875 | Kerry Marsh Haas | Genetic Counselor, MS | 4901 Forest Park Ave Ste 710, Ste 710, Saint Louis, MO 63108-1402 | 2017-05-31 |
1992068845 | Kristina Sondgeroth | Obstetrics & Gynecology | 4901 Forest Park Ave Ste 710, Ste 710, Saint Louis, MO 63108-1402 | 2012-06-15 |
1346502234 | Laura James Nywening | Obstetrics & Gynecology | 4901 Forest Park Ave Ste 710, Ste 710, Saint Louis, MO 63108-1402 | 2012-06-15 |
1669748406 | Adam Korrick Lewkowitz | Obstetrics & Gynecology | 4901 Forest Park Ave Ste 710, Ste 710, Saint Louis, MO 63108-1402 | 2012-03-27 |
1831464254 | Joshua Isaac Rosenbloom | Obstetrics & Gynecology | 4901 Forest Park Ave Ste 710, Ste 710, Saint Louis, MO 63108-1402 | 2012-03-19 |
1497027247 | Melissa B Wallace | Nurse Practitioner | 4901 Forest Park Ave Ste 710, Ste 710, Saint Louis, MO 63108-1402 | 2012-02-08 |
1083907844 | Holly Steiner | Obstetrics & Gynecology | 4901 Forest Park Ave Ste 710, Ste 710, Saint Louis, MO 63108-1402 | 2011-05-25 |
1891085395 | Gillian Brit Schivone | Obstetrics & Gynecology | 4901 Forest Park Ave Ste 710, Ste 710, Saint Louis, MO 63108-1402 | 2011-04-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346851474 | Nigel Austen Thomas Cook | Social Worker | 4050 West Pine Blvd. Apt. 4118, St. Louis, MO 63108 | 2020-08-12 |
1467070011 | C2n Diagnostics, LLC | Clinical Medical Laboratory | 20 South Sarah Street, Saint Louis, MO 63108 | 2020-07-10 |
1609414358 | Kaylee Breitenbucher | Occupational Therapist | 4444 Forest Park Avenue, Msc 8505-94-01, St. Louis, MO 63108 | 2019-12-12 |
1114419546 | Activangels Home Health | Home Health | 4625 Lindell Blvd Ste 304, Saint Louis, MO 63108 | 2018-06-01 |
1215427349 | Heart To Heart Consolidated Home Care Service LLC | Home Health | 4625 Lindell Blvd Ste 200, Saint Louis, MO 63108 | 2018-05-15 |
1447755905 | Erin Virginia Adams | Student in an Organized Health Care Education/Training Program | 4355 Maryland Ave Apt 116, Saint Louis, MO 63108 | 2018-03-27 |
1033621172 | Roots Healthcare and Homes | In Home Supportive Care | 4300 Enright Ave, St. Louis, MO 63108 | 2017-10-30 |
1336661719 | House of Destiny Adult Day Care LLC | Clinic/Center | 4507 Olive Street, St Louis, MO 63108 | 2017-07-07 |
1003338492 | Khin Min Thu | Social Worker | 4236 Lindell Blvd., Suite 200, St Louis, MO 63108 | 2017-07-07 |
1679093967 | Together We Can Home Healthcare Services LLC | Home Health | 4144 Lindell Blvd Suite 221, Saint Louis, MO 63108 | 2017-06-27 |
Find all providers in zip 63108 |
Taxonomy Code | 207SG0201X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Medical Genetics |
Specialization | Clinical Genetics (M.D.) |
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447269444 | Gary S Gottesman | Medical Genetics | 4400 Clayton Ave, Research Center, Saint Louis, MO 63110-1624 | 2006-08-07 |
1295180867 | Catherine Gooch | Medical Genetics | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2016-05-02 |
1780064378 | Katherine Barnes Abell | Medical Genetics | 1 Childrens Pl, Div Ped Cardiology, Saint Louis, MO 63110-1002 | 2015-06-09 |
1952717902 | Jorge Luis Granadillo De Luque | Medical Genetics | 1 Childrens Pl, Suite 3s34, Saint Louis, MO 63110-1002 | 2014-07-09 |
1710116207 | Jennifer Michelle Heeley | Medical Genetics | 621 S New Ballas Rd, Suite 281a, Saint Louis, MO 63141-8232 | 2009-07-06 |
1225203672 | Beth Ann Kozel | Medical Genetics | 1 Childrens Pl Ste C, Ste C, Saint Louis, MO 63110-1002 | 2008-04-28 |
1780888644 | Patricia Irene Dickson | Medical Genetics | 1 Childrens Pl, Ste C, Saint Louis, MO 63110-1002 | 2007-06-13 |
1053523845 | St Louis University | Medical Genetics | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2007-05-04 |
1912087354 | Marwan Shinawi | Medical Genetics | 1 Childrens Pl Ste C, Ste C, Saint Louis, MO 63110-1002 | 2006-10-17 |
1871510313 | Rick A Martin | Medical Genetics | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2006-07-17 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63108 |
Please comment or provide details below to improve the information on DR. DIANA LEE 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.