DR. EDWARD C GRAY (NPI# 1811383706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811383706 |
| Entity Type | Individual |
| Full Name | DR. EDWARD C GRAY |
| Credential | M.D |
| Practice Address |
Dogwood Ave Building 1 Room 249 East Tennessee State University Department of Surgery Johnson City TN 37614 |
| Mailing Address |
2740 Hanifl Rd La Crosse WI 54601-5236 |
| Practice Telephone | 4234396267 |
| Practice Fax Number | 4234396259 |
| Mailing Telephone | 5082720461 |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2015-04-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679697163 | Edward M Gray | Counselor | 729 5th Ave, Helena, MT 59601-4361 | 2007-03-19 |
| 1811007677 | Edward Wyatt Gray | Dentist | 1776 Grand Avenue, San Diego, CA 92109 | 2006-08-30 |
| 1073623047 | Edward John Gray | Dentist | 1516 Virginia Ranch Rd Ste 1a, Gardnerville, NV 89410-5764 | 2006-08-30 |
| 1265087894 | Edward Gray IIi | Chore Provider | 332 S Decatur Blvd, Las Vegas, NV 89107-2804 | 2019-08-09 |
| 1912411661 | Edward Alfred Gray | Counselor | 1000 Cherry Rd, Memphis, TN 38117-5424 | 2017-11-16 |
| 1649569039 | Edward Horace Gray | Counselor | 227 Thorn Ave, Orchard Park, NY 14127-2600 | 2011-04-06 |
| 1881877348 | Edward Gray | Occupational Therapist | 12040 S Jog Rd, Suite 8, Boynton Beach, FL 33437-4164 | 2007-12-06 |
| 1588843015 | Edward H. Gray | Internal Medicine | 325 W Germantown Pike Ste 301, East Norriton, PA 19403-4207 | 2007-11-01 |
| Street Address |
DOGWOOD AVE BUILDING 1 ROOM 249 EAST TENNESSEE STATE UNIVERSITY DEPARTMENT OF SURGERY |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689093361 | Korsica Lassiter | Student in an Organized Health Care Education/Training Program | Dogwood Ave Building 1 Room 249, Etsu Quillen College of Medicine Dept of Surgery, Johnson City, TN 37614 | 2014-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467061887 | Jessica Marie Robinson | Pharmacist | Maple Avenue Building 7, Johnson City, TN 37614 | 2020-07-31 |
| 1881220697 | Rachel Miller Slough | Psychologist | 801 S Dossett Drive, Johnson City, TN 37614 | 2020-03-13 |
| 1326682493 | Yoshihiro Kojima | Specialist/Technologist | 127 W John Robert Bill Dr, Johnson City, TN 37614 | 2019-11-01 |
| 1205360104 | Charlotte Lynn Alexander | Student in an Organized Health Care Education/Training Program | Department of Obstetrics and Gynecology, 70569, Qcom Building 1, Room 307, Johnson City, TN 37614 | 2017-04-18 |
| 1679006787 | Joel Whipple | Student in an Organized Health Care Education/Training Program | Etsu - Building 1, 2nd Floor, Johnson City, TN 37614 | 2017-04-05 |
| 1497295711 | Charles Faust | Dental Hygienist | 1276 Gilbreath Dr, Johnson City, TN 37614 | 2017-03-06 |
| 1265889414 | Dyan Darang | Student in an Organized Health Care Education/Training Program | Etsu, Quillen College of Medicine, Psychiatry Residency Program, Box 70567, Johnson City, TN 37614 | 2016-05-18 |
| 1194170142 | Katharine Ann Lasher | Student in an Organized Health Care Education/Training Program | Dept. of Surgery, Dogwood Ave, Building 1, Rm 249, East Tennessee State Univ. Quillen College of Medicine, Johnson City, TN 37614 | 2016-04-27 |
| 1992150189 | Nishika Shina Moradia | Student in an Organized Health Care Education/Training Program | East Tennessee State University Quillen College of Medi, Dogwood Ave, Building 1, Room 249, Johnson City, TN 37614 | 2016-04-26 |
| 1962884429 | Apurva Bansal | Student in an Organized Health Care Education/Training Program | 325 North State of Franklin, Johnson City, TN 37614 | 2015-06-22 |
| Find all providers in zip 37614 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619585668 | Mohammad Darweesh | Student in an Organized Health Care Education/Training Program | 325 N State of Franklin Rd # 439-7280, Johnson City, TN 37604-6056 | 2020-07-16 |
| 1407484157 | Kayla Page | Student in an Organized Health Care Education/Training Program | 23 Riale Ave, Johnson City, NY 13790-2707 | 2020-03-30 |
| 1932736030 | Trishna Sharma | Student in an Organized Health Care Education/Training Program | Building 52/lake Drive Mountain Home, Johnson City, TN 37684 | 2020-03-26 |
| 1962063743 | Pooja Kumar | Student in an Organized Health Care Education/Training Program | 400 N St Franklin Rd, Johnson City, TN 37604-6035 | 2019-06-24 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1396309324 | Praveen Shilpa Fernandopulle | Student in an Organized Health Care Education/Training Program | 1276 Gilbreath Dr # 70300, Johnson City, TN 37614-6503 | 2019-04-25 |
| 1609439686 | Alok Kumar Sinha | Student in an Organized Health Care Education/Training Program | Va Bldg 1, Johnson City, TN 37614-6503 | 2019-04-16 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1689171951 | Matthew David Carpenter | Student in an Organized Health Care Education/Training Program | Va Bldg 1, Dogwood Avenue, Johnson City, TN 37614-0622 | 2018-04-12 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37614 |
Please comment or provide details below to improve the information on DR. EDWARD C 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.