WILLIAM RICHARD GRAY (NPI# 1649395229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649395229 |
| Entity Type | Individual |
| Full Name | WILLIAM RICHARD GRAY |
| Credential | PA |
| Practice Address |
2500 Nesconset Hwy Bldg 15h Stony Brook NY 11790-2554 |
| Mailing Address |
2500 Nesconset Hwy Stony Brook NY 11790-2555 |
| Practice Telephone | 6316893005 |
| Practice Fax Number | 6316891750 |
| Mailing Telephone | 6316893005 |
| Mailing Fax Number | 6316891750 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2015-02-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
003709-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164855722 | William Ryburn Gray Jr. | Radiology | 2858 Piping Rock Dr, Abilene, TX 79606-4322 | 2013-08-18 |
| 1235279936 | William Charles Gray | Dentist | 100 G T Thames Dr, Suite A, Starkville, MS 39759-8836 | 2007-02-08 |
| 1972602936 | William J Gray | Podiatrist | 1170 W Mich Ave, Marshall, MI 49068 | 2006-09-22 |
| 1568445716 | William Gray IIi | Chiropractor | 446 Grace St, Greenwood, SC 29649-3125 | 2005-11-22 |
| 1497757033 | William Alden Gray | Dentist | 605 S Orchard St, Stillwater, OK 74074-4218 | 2005-08-12 |
| 1588666317 | William J Gray | Internal Medicine | 811 W Coomer St, Morenci, MI 49256-1352 | 2005-08-11 |
| 1740709641 | William Gray | Counselor | 44447 10th St W, Lancaster, CA 93534-3324 | 2017-09-12 |
| 1255863817 | William Henry Gray IIi | Registered Nurse | 1712 E Broad St, Richmond, VA 23223-6930 | 2017-03-31 |
| 1114378882 | William Gray | Internal Medicine | 405 W Jackson St, Carbondale, IL 62901 | 2016-06-23 |
| 1407203466 | William Hampton Gray | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1520 San Pablo St, Healthcare Consultation Center II Suite 4300, Los Angeles, CA 90033-5310 | 2016-05-19 |
| Street Address |
2500 NESCONSET HWY BLDG 15H |
| City | STONY BROOK |
| State | NY |
| Zip Code | 11790-2554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003385352 | Lisa Trentino | Physician Assistant | 2500 Nesconset Hwy Bldg 15h, Stony Brook, NY 11790 | 2018-11-15 |
| 1275807448 | Nicole Hernandez | Physician Assistant | 2500 Nesconset Hwy Bldg 15h, Stony Brook, NY 11790-2554 | 2012-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649807678 | Ribu Mathew | Student in an Organized Health Care Education/Training Program | Health Science Center T16, Room 020, Stony Brook, NY 11790 | 2020-03-27 |
| 1538794821 | Chaoyang Qu | Student in an Organized Health Care Education/Training Program | 9 Syncamore Dr, Stonybrook, NY 11790 | 2020-03-06 |
| 1457814824 | Brain & Spine Surgery, P.C. | Neurological Surgery | 2500 Nesconset Hwy., Bldg 18c, Stony Brook, NY 11790 | 2019-04-11 |
| 1447759741 | Susan Cuccia | Registered Nurse | 40 Sheppard Lane, Stony Brook, NY 11790 | 2018-02-02 |
| 1972022234 | Carol M Doherty | Specialist | 7 Haskel Lane, Stony Brook, NY 11790 | 2017-09-18 |
| 1972021582 | Louren M Gonzales | Nurse Practitioner | 100 Nicolls Rd Hsc Level 4 Room 120, Hsc Level 4 Room 120, Stony Brook, NY 11790 | 2017-09-04 |
| 1043740954 | Asma Khattak | Behavior Technician | 90 Quaker Path, Stony Brook, NY 11790 | 2017-06-13 |
| 1427452846 | Christina Georgia | Registered Nurse | 36 Ivy League Lane, Stony Brook, NY 11790 | 2014-10-14 |
| 1124361654 | Mandeep Kainth | Student in an Organized Health Care Education/Training Program | Department of Medicine Hsc Level 16, 020, Suny Stony Brook, Stony Brook, NY 11790 | 2013-04-03 |
| 1922357144 | Audry M Luciano | Registered Nurse | 2500 Nesconset Hwy Bldg 23, Stony Brook, NY 11790 | 2012-09-04 |
| Find all providers in zip 11790 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255588414 | Joyce Lorraine Quick | Physician Assistant | Stony Brook Univerity Medical Center, Suny @ Sb, Hsc Level 16, Room 080, Stony Brook, NY 11794-8167 | 2008-08-19 |
| 1013174861 | Marlo Karen Dombroff | Physician Assistant | University Associates In Ob Gyn Ufpc, Stony Brook Cancer Center, Stony Brook, NY 11794-8091 | 2008-05-20 |
| 1619140738 | Bridget A Pellegrini | Physician Assistant | Suny At Stony Brook Level T9, Stony Brook, NY 11794-8430 | 2008-04-09 |
| 1386773406 | Marlon T. Munian | Physician Assistant | Health Sciences Tower Level 3 086, Stony Brook, NY 11794-0001 | 2007-03-05 |
| 1306494133 | Roshan T. Varughese | Physician Assistant | 101 Nicolls Rd Dept Of, Stony Brook, NY 11794-0001 | 2019-08-26 |
| 1003250622 | Christine Frances Campagna | Physician Assistant | 6 Technology Dr, Stony Brook, NY 11794-9254 | 2013-04-25 |
| 1609174796 | Monique Contento | Physician Assistant | 100 Patriots Rd, Stony Brook, NY 11790-3318 | 2011-03-14 |
| 1487962023 | Diana C Santori | Physician Assistant | Stony Brook University Medical Ctr, Stony Brook, NY 11794-8122 | 2010-09-16 |
| 1518127018 | Dona Angela Pellegrino | Physician Assistant | Stony Brook University Medical Ctr, Stony Brook, NY 11794-0001 | 2008-06-10 |
| 1811160559 | Jennifer Moldovan | Physician Assistant | 2500 Nesconset Hwy, Building 3c, Stony Brook, NY 11790-2555 | 2008-04-02 |
| Find all providers in STONY BROOK | ||||
| City | STONY BROOK |
| Zip Code | 11790 |
Please comment or provide details below to improve the information on WILLIAM RICHARD 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.