DOUGLAS L GRAY


Address: 11108 Parkview Circle Dr, Suite 5100, Fort Wayne, IN 46845-1730
Phone: 2602662800

DOUGLAS L GRAY (NPI# 1891787651) 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) 1891787651
Entity Type Individual
Full Name DOUGLAS L GRAY
Credential MD
Practice Address 11108 Parkview Circle Dr
Suite 5100
Fort Wayne
IN 46845-1730
Mailing Address 1234 E Dupont Rd
Suite 1
Fort Wayne
IN 46825-1545
Practice Telephone 2602662800
Practice Fax Number 2602662805
Mailing Telephone 2603739700
Mailing Fax Number 2603739740
Enumeration Date 2005-08-18
Last Update Date 2013-03-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) 01044841A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN RAILROAD MEDICARE 060048219 01
IN ANTHEM 000000595620 01
IN 200178590 05
IN RAILROAD MEDICARE P00664358 01

Other Providers DOUGLAS GRAY

NPI Name Taxonomy Address Enumeration
1649288796 Douglas J. Gray Dentist 435 York Street, York Harbor, ME 03911-1108 2006-08-04
1285631317 Douglas Theodore Gray Social Worker 211 Parsons Ave, Yakima, WA 98908-1734 2005-07-05
1003463035 Douglas Gray Case Manager/Care Coordinator 7695 Poe Ave, Dayton, OH 45414-2552 2019-08-23
1114313491 Douglas Scott Gray Registered Nurse 109 Bee St, Charleston, SC 29401-5703 2015-04-13
1154429223 Douglas D Gray Psychiatry & Neurology 650 Komas Dr, #208, Salt Lake City, UT 84108-1215 2006-09-20
1144244336 Douglas L Gray Ophthalmology 602 W. University Avenue, Ophthalmology / Optometry, Urbana, IL 61801 2006-07-27
1942242946 Douglas W Gray Dentist 230 Temple St, Mason, MI 48854-1837 2006-06-12
1851367825 Douglas R Gray Optometrist Madigan Army Medical Ctr, 9040 Jackson Ave, Tacoma, WA 98431-1100 2006-02-28

Office Location

Street Address 11108 PARKVIEW CIRCLE DR
SUITE 5100
City FORT WAYNE
State IN
Zip Code 46845-1730

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710986443 Lawrence E Gering Internal Medicine 11108 Parkview Circle Dr, Fort Wayne, IN 46845-1730 2005-07-15
1477106326 Ashika R Thanju Registered Nurse 11108 Parkview Circle Dr, Fort Wayne, IN 46845-1730 2019-07-19
1003469925 Shannon L Decker Registered Nurse 11108 Parkview Circle Dr, Fort Wayne, IN 46845-1730 2019-07-19
1023596350 Maryam Noureldin Pharmacist 11108 Parkview Circle Dr, Fort Wayne, IN 46845-1730 2018-07-30
1831676576 Rosanne Wuthrich Pharmacist 11108 Parkview Circle Dr, Fort Wayne, IN 46845-1730 2018-07-25
1720579329 Anne Marie Dietz Dietitian, Registered 11108 Parkview Circle Dr, Fort Wayne, IN 46845 2018-05-20
1760998843 Amanda M Gilbert Registered Nurse 11108 Parkview Circle Dr, Fort Wayne, IN 46845-1730 2017-12-27
1336682723 Kaitlyn D Brita Registered Nurse 11108 Parkview Circle Dr, Fort Wayne, IN 46845-1730 2016-12-02
1467853523 Kayla Burns Physician Assistant 11108 Parkview Circle Dr, Suite 5100, Fort Wayne, IN 46845-1730 2014-09-09
1649688870 Heather Kountouris Pharmacist 11108 Parkview Circle Dr, Fort Wayne, IN 46845-1730 2014-07-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881154110 Nancy Jean Ehmke Clinical Nurse Specialist 11151 Parkview Plaza Dr, Fort Wayne, IN 46845 2019-03-22
1043703903 Kara Stackhouse Nurse Practitioner 11050 Parkview Plaza Drive, Fort Wayne, IN 46845 2018-06-14
1871082412 Tara K Jellison Pharmacist 11109 Parkview Plaza Drive -- Attn Pharmacy, Fort Wayne, IN 46845 2018-05-09
1578097572 Forefront Dermatology, S.c. Dermatology 4020 New Vision Drive, Fort Wayne, IN 46845 2017-04-17
1811437999 Jessica Ann Lefever Behavioral Analyst 3898 New Vision Dr Ste D, Fort Wayne, IN 46845 2017-03-08
1033668041 Bhi Home Care, Inc. In Home Supportive Care 820 Mill Lake Road, Fort Wayne, IN 46845 2016-10-03
1467814939 Austin Wyss Specialist/Technologist 11130 Parkview Circle Drive, Ft. Wayne, IN 46845 2016-03-24
1154713584 Ashley Whitcraft Specialist/Technologist 11130 Parkview Plaza Drive #4, Fort Wayne, IN 46845 2015-02-23
1275975682 Lakshmi Mohan Viji Das Internal Medicine 11143 Parkview Plaza Dr Ste 311, Fort Wayne, IN 46845 2013-07-26
1336482496 Mithun Mohana Shenoi Colon & Rectal Surgery 11104 Parkview Circle Drive Suite 320, Fort Wayne, IN 46845 2013-03-27
Find all providers in zip 46845

Taxonomy Information

Taxonomy Code 208G00000X
Grouping Allopathic & Osteopathic Physicians
Classification Thoracic Surgery (Cardiothoracic Vascular Surgery)

Taxonomy Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114122488 Hannah Copeland Thoracic Surgery (Cardiothoracic Vascular Surgery) 7910 W Jefferson Blvd Ste 102, Fort Wayne, IN 46804-4159 2007-06-18
1356544308 Melmar LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) 2410 N Glendale Dr, Suite C, Fort Wayne, IN 46804-8908 2007-06-07
1578655494 Marcus A Jimenez Thoracic Surgery (Cardiothoracic Vascular Surgery) 2510 N Glendale Drive, Suite C, Fort Wayne, IN 46804 2006-09-28
1639171499 John R Stanford Thoracic Surgery (Cardiothoracic Vascular Surgery) 2414 E State Blvd, Carew Building #1, Suite 201, Fort Wayne, IN 46805-4760 2005-08-11
1154616175 Tariq Omar Lescouflair Thoracic Surgery (Cardiothoracic Vascular Surgery) 11108 Parkview Circle Dr Ste 5100, Fort Wayne, IN 46845 2011-06-17
1699975342 Christopher J. Gullett Thoracic Surgery (Cardiothoracic Vascular Surgery) 7910 W Jefferson Blvd Ste 102, Fort Wayne, IN 46804-4159 2007-07-20
1205989159 Fort Wayne Cardiovascular Associates Thoracic Surgery (Cardiothoracic Vascular Surgery) 11123 Parkview Plaza Dr, Suite 202, Fort Wayne, IN 46845-1707 2007-01-22
1215080692 Fort Wayne Cardiovascular Associates Thoracic Surgery (Cardiothoracic Vascular Surgery) 800 Broadway, Suite 201, Fort Wayne, IN 46802-2149 2007-01-19
1790718765 Fort Wayne Cardiovascular Surgeon Thoracic Surgery (Cardiothoracic Vascular Surgery) 11123 Parkview Plaza Dr, Suite 202, Fort Wayne, IN 46845-1707 2006-07-10
1679551741 Fort Wayne Cardiovascular Surgeons, PC Thoracic Surgery (Cardiothoracic Vascular Surgery) 1818 Carew St, Suite 250, Fort Wayne, IN 46805-4788 2006-01-09
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Competitor

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City FORT WAYNE
Zip Code 46845

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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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