TODD A GRAY (NPI# 1679587422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679587422 |
| Entity Type | Individual |
| Full Name | TODD A GRAY |
| Credential | MD |
| Practice Address |
900 E Broadway Ave Bismarck ND 58501-4520 |
| Mailing Address |
Po Box 997 Bismarck ND 58502-0997 |
| Practice Telephone | 7015306500 |
| Mailing Telephone | 7015306500 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2016-09-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 12115 | ND | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 04-32887 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 1454325 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740803303 | Todd Gray | Registered Nurse | 5400 W National Ave, Milwaukee, WI 53214-3461 | 2020-05-18 |
| 1538259908 | Todd Alan Gray | Dentist | 1701 County Rd Ste I, Minden, NV 89423-4465 | 2006-10-13 |
| 1962515684 | Todd Gray | Physician Assistant | 268 Brookley Ave, Bolling Afb, DC 20032 | 2006-08-16 |
| 1437705076 | Todd Gray | Home Health Aide | 3210 W Charleston Blvd Ste 2, Las Vegas, NV 89102-0080 | 2019-08-09 |
| 1639665730 | Todd Gray | Registered Nurse | 2701 W Superior St, Duluth, MN 55806-1856 | 2018-07-02 |
| 1972931582 | Todd Z Gray | Veterinarian | 2551 Warrenville Rd, Downers Grove, IL 60515-1724 | 2013-10-16 |
| 1831336015 | Todd D Gray | Nurse Anesthetist, Certified Registered | 2600 Greenwood Rd, Shreveport, LA 71103-3908 | 2009-01-09 |
| 1447346630 | Todd William Gray | Internal Medicine | 5409 Avenue O, Fort Madison, IA 52627-9601 | 2006-10-05 |
| Street Address |
900 E BROADWAY AVE |
| City | BISMARCK |
| State | ND |
| Zip Code | 58501-4520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720087000 | Kym L Chandler | Neurological Surgery | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2005-07-19 |
| 1538769633 | Brenton Michael Green | Physician Assistant | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2020-10-28 |
| 1679186852 | Carly Marie Meyer | Pharmacist | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2020-08-26 |
| 1164030169 | Heather Brooke Flaa | Physician Assistant | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2020-07-16 |
| 1699393454 | Alexis Schulz | Nurse Practitioner | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2020-07-08 |
| 1457971012 | Byul You | Pharmacist | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2020-04-23 |
| 1962021618 | Amanda Mcglasson | Pharmacist | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2020-04-13 |
| 1336772839 | Deanne Hice | Nurse Anesthetist, Certified Registered | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2020-02-13 |
| 1538707898 | Jenna Etzold | Psychologist | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2019-12-18 |
| 1548811169 | Sarah Skeie | Nurse Practitioner | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2019-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811500911 | Sonja Lee Bosch | Counselor | 101 E. Broadway Ave Heartview Foundation, Bismarck, ND 58501 | 2020-08-28 |
| 1649740630 | Stephanie Marie Simburger | Social Worker | 3111 East Broadway Ave, Bismarck, ND 58501 | 2018-12-03 |
| 1679042519 | Prairie Rose Family Dentists | Dentist | 1110 College Dr., Suite 110, Bismark, ND 58501 | 2018-11-21 |
| 1386111276 | Arielle Joy Flynn | Genetic Counselor, MS | 414 N Seventh Street, Bismarck, ND 58501 | 2018-10-29 |
| 1164901799 | Karalee Joy Harper | Counselor | 101 E. Broadway Ave, Bismarck, ND 58501 | 2018-08-14 |
| 1518457811 | Myckenzie Saari | Behavior Technician | 1929 N Washington St., Bismarck, ND 58501 | 2018-05-14 |
| 1831687532 | Jacquelyn Mahoney | Behavioral Analyst | 604 North Ave, Bismarck, ND 58501 | 2018-04-27 |
| 1710403811 | Kayla Marie Watson | Behavior Technician | 1500 E. Capitol Ave, Suite 200, Bismarck, ND 58501 | 2017-08-21 |
| 1306368220 | Scott Vandyke | Occupational Therapist | 300 N. 7th St, Bismarck, ND 58501 | 2017-07-12 |
| 1144670019 | Bismarck Psychological Associates, Pllc | Psychologist | 107 W. Main Ave., Suite 225, Bismarck, ND 58501 | 2016-06-21 |
| Find all providers in zip 58501 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912947847 | Robert Allen Pathroff | Urology | 225 North 7th Street, Bismarck, ND 58501 | 2006-06-08 |
| 1255827697 | Karim Courtemanche | Urology | 222 N 7th St, Bismarck, ND 58501-4436 | 2018-07-09 |
| 1750676201 | Cameron M Charchenko | Urology | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2011-06-13 |
| 1902015217 | Christopher Paul Cost | Urology | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2007-05-22 |
| 1700997780 | Nadim Koleilat | Urology | 222 N 7th St, Bismarck, ND 58501-4436 | 2006-08-31 |
| 1427160860 | Leslie M Rainwater | Urology | 900 E Broadway Ave, Bismarck, ND 58501 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811190465 | Medcenter One Inc | Urology | 12 1st St W, City Center Plaza, Dickinson, ND 58601-5106 | 2007-06-08 |
| 1326178013 | Alan F.h. Lim, M.d., P.C. | Urology | 20 Burdick Expy W Ste 202, Minot, ND 58701-4498 | 2007-03-06 |
| 1508933144 | Dr Steven Schultz Md PC | Urology | 3375 De Mers Ave, Grand Forks, ND 58201 | 2006-11-29 |
| 1578529392 | Salem Shehadeh Shahin | Urology | 1219 Knoll St, Williston, ND 58801 | 2006-04-21 |
| 1831519388 | Archana Rajender | Urology | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2014-04-23 |
| 1295179687 | Eric Andrew Schommer | Urology | 801 Broadway N, Fargo, ND 58102 | 2013-04-29 |
| 1326301250 | Philip M. Wanzek | Urology | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2012-06-15 |
| 1205104080 | Salem S Shahin Md PC | Urology | 1219 Knoll St, Williston, ND 58801-3234 | 2011-12-07 |
| 1710125893 | Brent Richard Williams | Urology | 801 Broadway N, Fargo, ND 58102-3641 | 2009-01-28 |
| 1255592903 | Cordell Ross Davis | Urology | 4440 S Washington St, Grand Forks, ND 58201-7245 | 2008-06-24 |
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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.