JOHN ROBERT GRAY (NPI# 1619998499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619998499 |
| Entity Type | Individual |
| Full Name | JOHN ROBERT GRAY |
| Credential | M.D. |
| Practice Address |
6200 Shingle Creek Pkwy Suite 250 Brooklyn Center MN 55430-2128 |
| Mailing Address |
6200 Shingle Creek Pkwy Suite 260 Brooklyn Center MN 55430-2128 |
| Practice Telephone | 7635440696 |
| Mailing Telephone | 7635615349 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2014-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
32388 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | HEALTHPARTNERS | HP13411 | 01 |
| WI | 31709300 | 05 | |
| MN | 427392300 | 05 | |
| MN | MEDICA | 3124729 | 01 |
| MN | AMERICA'S PPO | IM0129 | 01 |
| MN | UCARE | 103617C028 | 01 |
| MN | PREFERRED ONE | 33007 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346634086 | John Mitchell Gray | Counselor | 3216 E 1st St, Fort Worth, TX 76111-3831 | 2015-03-19 |
| 1720499106 | John Trent Gray | Counselor | 8733 Greenwood Ave N, Seattle, WA 98103-3661 | 2014-05-19 |
| 1649588237 | John Richard Gray Jr. | Pharmacist | 1125 E Hwy 80, Haughton, LA 71037-9430 | 2010-09-17 |
| 1174760813 | John T Gray | Hearing Instrument Specialist | 218 Island St, Chippewa Falls, WI 54729-2351 | 2009-01-16 |
| 1083736938 | John Alan Gray | Psychiatry & Neurology | 401 Parnassus, Box 0984-rtp, San Francisco, CA 94143-0984 | 2007-04-04 |
| 1497885990 | John William Gray IIi | Family Medicine | 116 Old Jericho Rd, Beaufort, SC 29902-5119 | 2007-03-06 |
| 1225060403 | John Gray | Family Medicine | 801 W Broad St, Bethlehem, PA 18018-5264 | 2006-07-07 |
| 1821028127 | John R. Gray | Optometrist | 113 Battlefield Mall, Springfield Eyecare, LLC, Springfield, MO 65804 | 2006-07-03 |
| 1588633028 | John Robert Gray Jr. | Family Medicine | 902 E Pine St, Tulsa, OK 74106-5928 | 2006-03-16 |
| 1518460153 | John Troy Gray II | Social Worker | 14 S Paint St, Chillicothe, OH 45601-3203 | 2018-03-09 |
| Street Address |
6200 SHINGLE CREEK PKWY SUITE 250 |
| City | BROOKLYN CENTER |
| State | MN |
| Zip Code | 55430-2128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255305355 | Brett W Nyholm | Internal Medicine | 6200 Shingle Creek Pkwy, Suite 250, Brooklyn Center, MN 55430-2128 | 2006-02-15 |
| 1881007110 | Mary Prescott | Nurse Practitioner | 6200 Shingle Creek Pkwy, Suite 300, Brooklyn Center, MN 55430-2128 | 2014-06-04 |
| 1619265444 | Cari A Bushey | Nurse Practitioner | 6200 Shingle Creek Pkwy, Suite 260, Brooklyn Center, MN 55430-2128 | 2011-07-14 |
| 1427285030 | Carl Dean | Internal Medicine | 6200 Shingle Creek Pkwy, Suite 250, Brooklyn Center, MN 55430-2128 | 2009-06-22 |
| 1023253069 | Katherine M Carlson | Dietitian, Registered | 6200 Shingle Creek Pkwy, Ste 300, Brooklyn Center, MN 55430-2128 | 2008-12-04 |
| 1497906242 | Zeeraq Rahmatullah | Internal Medicine | 6200 Shingle Creek Pkwy, 300, Brooklyn Center, MN 55430-2128 | 2008-10-09 |
| 1568670867 | Kyle P Onan | Internal Medicine | 6200 Shingle Creek Pkwy, Suite 250, Brooklyn Center, MN 55430-2128 | 2007-05-18 |
| 1275680407 | Jeffrey Brown, Ma, Lp | Psychologist | 6200 Shingle Creek Pkwy, Suite460-2, Brooklyn Center, MN 55430-2128 | 2007-01-03 |
| 1881754471 | Eileen O Mundenar | Physician Assistant | 6200 Shingle Creek Pkwy, Suite 300, Brooklyn Center, MN 55430-2128 | 2006-12-12 |
| 1205940798 | Marc Weber | Internal Medicine | 6200 Shingle Creek Pkwy, Suite 260, Brooklyn Center, MN 55430-2128 | 2006-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396362182 | Graceland Homes | Home Health | 6843 Colfax Ave N, Brooklyn Center, MN 55430 | 2020-06-29 |
| 1912549742 | His Services Home Care, LLC | Home Health | 2108 70th Avenue North, Brooklyn Park, MN 55430 | 2019-10-14 |
| 1336612969 | Jeremiah Sk Pojah Sr. | Registered Nurse | 5201 Bryant Avenue North, Suite 108, Minneapolis, MN 55430 | 2019-01-07 |
| 1891219697 | Tamika Yvette Spicer | Home Health Aide | 6640 Humboldt Ave N, 101, Brooklyn Center, MN 55430 | 2017-08-02 |
| 1265973358 | James Contois | Community Based Residential Treatment Facility, Mental Illness | 6120 Earle Brown Drive, Suite 100, Brooklyn Center, MN 55430 | 2017-03-09 |
| 1336693746 | Sara Jean Cooper | Dentist | 1090 Shingle Creek Pkwy, Brooklyn Center, MN 55430 | 2016-08-15 |
| 1750732202 | Miriam Home Health Corporation | Residential Treatment Facility, Physical Disabilities | 7030 Humboldt Avenue North, Brooklyn Center, MN 55430 | 2016-06-27 |
| 1649628561 | Tranquility Health LLC | Community/Behavioral Health | 6040 Earle Brown Dr Ste 250, Brooklyn Center, MN 55430 | 2016-06-01 |
| 1104233790 | Lillie's Helping Hands | In Home Supportive Care | 6407 Camden Ave N, #303, Brooklyn Center, MN 55430 | 2014-07-16 |
| 1063760817 | Wal-mart Stores Inc | Technician/Technologist | 1200 Shingle Creek Crossing, Brooklyn Center, MN 55430 | 2012-08-28 |
| Find all providers in zip 55430 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538459755 | Maxwell David Leither | Internal Medicine | 6200 Shingle Creek Pkwy Ste 250, Brooklyn Center, MN 55430-2107 | 2011-04-08 |
| 1255305355 | Brett W Nyholm | Internal Medicine | 6200 Shingle Creek Pkwy, Suite 250, Brooklyn Center, MN 55430-2128 | 2006-02-15 |
| 1427285030 | Carl Dean | Internal Medicine | 6200 Shingle Creek Pkwy, Suite 250, Brooklyn Center, MN 55430-2128 | 2009-06-22 |
| 1497906242 | Zeeraq Rahmatullah | Internal Medicine | 6200 Shingle Creek Pkwy, 300, Brooklyn Center, MN 55430-2128 | 2008-10-09 |
| 1013938885 | Norman Martin Lunde | Internal Medicine | 6200 Shingle Creek Pkwy, Suite 300, Brooklyn Center, MN 55430-2128 | 2006-07-21 |
| 1699796326 | Daniel K Ries | Internal Medicine | 6200 Shingle Creek Pkwy, Suite 250, Brooklyn Center, MN 55430-2128 | 2006-07-21 |
| 1023038981 | Michael Grant Somermeyer | Internal Medicine | 6200 Shingle Creek Pkwy, Suite 250, Brooklyn Center, MN 55430-2128 | 2006-07-20 |
| 1922025774 | George Chris Canas | Internal Medicine | 6200 Shingle Creek Pkwy, Suite 250, Brooklyn Center, MN 55430-2128 | 2006-07-17 |
| 1235156118 | Orvin Patrick Ochoa Visaya | Internal Medicine | 6200 Shingle Creek Pkwy, Suite 250, Brooklyn Center, MN 55430-2128 | 2006-07-16 |
| 1629010228 | Kidney Specialists of Minnesota, Pa | Internal Medicine | 6200 Shingle Creek Pkwy, Suite 260, Brooklyn Center, MN 55430-2128 | 2006-06-11 |
| Find all providers in BROOKLYN CENTER | ||||
| City | BROOKLYN CENTER |
| Zip Code | 55430 |
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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.