DONA LESLIE GRAY


Address: 2600 Ferry St, Lafayette, IN 47904-3055
Phone: 7654488000

DONA LESLIE GRAY (NPI# 1538260740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538260740
Entity Type Individual
Full Name DONA LESLIE GRAY
Credential MD
Practice Address 2600 Ferry St
Lafayette
IN 47904-3055
Mailing Address 1200 W White River Blvd
Rcs Provider Enrollment
Muncie
IN 47303-4988
Practice Telephone 7654488000
Practice Fax Number 7654488858
Mailing Telephone 8776685621
Enumeration Date 2006-09-26
Last Update Date 2020-01-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
01058409A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 200839690 05
IN PHCS PID NUMBER 9452986 01
IN ANTHEM PROVIDER NUMBER 000000507854 01

Office Location

Street Address 2600 FERRY ST
City LAFAYETTE
State IN
Zip Code 47904-3055

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174524839 Eric Marcus Orenstein Orthopaedic Surgery 2600 Ferry St, Lafayette, IN 47904-3055 2005-08-03
1972149359 Paige Ubel Occupational Therapy Assistant 2600 Ferry St, Lafayette, IN 47904-3055 2019-11-21
1053953695 Emily Ann Fusiek Registered Nurse 2600 Ferry St, Lafayette, IN 47904-3055 2019-10-15
1700428836 Victoria Logan Mccain Nurse Practitioner 2600 Ferry St, Lafayette, IN 47904-3055 2019-10-10
1700361847 Heather Richey Physical Therapy Assistant 2600 Ferry St, Lafayette, IN 47904-3055 2018-09-25
1588157218 Shelby Lee Mitchell Occupational Therapist 2600 Ferry St, Lafayette, IN 47904-3055 2018-06-07
1649760885 Elaine J Budreau Registered Nurse 2600 Ferry St, Lafayette, IN 47904 2018-05-14
1487172342 Abhijeet Ahluwalia Physical Therapist 2600 Ferry St, Lafayette, IN 47904-3055 2017-08-31
1518482603 Christine Annette Pattison Physical Therapist 2600 Ferry St, Lafayette, IN 47904-3055 2017-08-09
1013438407 Pallavi Ram Shinde Physical Therapist 2600 Ferry St, Lafayette, IN 47904-3055 2017-07-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568998615 Angela Hands Physical Therapy Assistant 1260 North 17th Street, Lafayette, IN 47904 2017-05-11
1366894164 Kathryn Barnett Behavioral Analyst 2785 Cason St # 2, Lafayette, IN 47904 2016-07-06
1881972917 Rest Assured, LLC Durable Medical Equipment & Medical Supplies 180 Professional Ct., Lafayette, IN 47904 2011-07-22
1144514233 Michelle Cristin Singleton Dietitian, Registered 508 N 26th St, Lafayette, IN 47904 2011-06-06
1912134438 Jean D Trammel Marriage & Family Therapist 2000 Greenburg St, Bldg B, Suite A, Lafayette, IN 47904 2009-06-11
1902946056 Terry Richard Baker Optometrist 2300 Sagamore Parkway S, Lafayette, IN 47904 2007-02-07
1891862165 Becki A Bowditch Inc Social Worker 2201 Ferry Street, Lafayette, IN 47904 2006-11-29
1326121849 James Lowell Thomas Pediatrics 2300 Ferry St, Lafayette, IN 47904 2006-10-21
1700976719 Michael Leonard Bagnoli Dentist 2020 Union Street, Suite 200, Lafayette, IN 47904 2006-10-13
1255428801 Lynn Arlen Pestle Dentist 2550 Elmwood Avenue, Lafayette, IN 47904 2006-10-06
Find all providers in zip 47904

Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184637456 Heather E Brooks Internal Medicine 300 Exempla Cir Ste 300, Lafayette, CO 80026-3394 2006-08-15
1073563631 Bennett Todd Baquet Internal Medicine 4212 W Congress St Ste 2300a, Lafayette, LA 70506-6778 2006-05-12
1972551679 John A. Linfoot Internal Medicine 978 2nd St, Ste 200, Lafayette, CA 94549-4545 2006-05-04
1790399624 Scl Health Medical Group - Denver, LLC Internal Medicine 300 Exempla Cir Ste 300, Lafayette, CO 80026-3394 2020-09-08
1598379984 Scl Health Medical Group - Denver, LLC Internal Medicine 300 Exempla Cir, Lafayette, CO 80026-3397 2020-09-02
1780020065 Peter A Linfoot Phd Md Inc. Internal Medicine 978 2nd St, Ste 220, Lafayette, CA 94549-4538 2013-05-14
1871881698 Acadiana Endocrinology Clinic LLC Internal Medicine 2730 Ambassador Caffery Pkwy, 201, Lafayette, LA 70506-5939 2011-07-13
1336306687 Jill S Maaske Internal Medicine 280 Exempla Cir, Lafayette, CO 80026-3370 2008-05-22
1821288119 Daniel Glenn Stout Internal Medicine 4809 Ambassador Caffery Pkwy, Ste 200, Lafayette, LA 70508-8800 2007-08-01
1891822839 John J Orrego Internal Medicine 280 Exempla Cir, Lafayette, CO 80026-3370 2007-02-27
Find all providers in LAFAYETTE

Competitor

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City LAFAYETTE
Zip Code 47904

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Dataset Information

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.

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