KELLY M GRAY (NPI# 1912248477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912248477 |
| Entity Type | Individual |
| Full Name | KELLY M GRAY |
| Credential | M.D. |
| Practice Address |
20010 Century Blvd Ste 200 Germantown MD 20874-1118 |
| Practice Telephone | 3235476444 |
| Mailing Telephone | 3235476444 |
| Enumeration Date | 2013-03-08 |
| Last Update Date | 2018-10-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | D0085941 | MD | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | CA | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467951491 | Kelly L Gray | Registered Nurse | 21410 N 19th Ave Ste 114, Phoenix, AZ 85027-2755 | 2018-02-05 |
| 1114328242 | Kelly Gray | Massage Therapist | 7792 Patton Rd, Dane, WI 53529-9715 | 2014-09-08 |
| 1891043675 | Kelly Gray | Massage Therapist | 510 State Ave Ste 3, Hampton, IL 61256-9690 | 2012-08-27 |
| 1700145281 | Kelly Gray | Pharmacist | 16212 Monnet Place Ct, Charlotte, NC 28278-0099 | 2012-05-03 |
| 1366727133 | Kelly Gray | Pharmacist | 4605 Montgomery Road, Norwood, OH 45212 | 2011-10-12 |
| 1821312224 | Kelly Gray | Dietitian, Registered | 330 Shamrock Rd, Manchester, KY 40962-9201 | 2010-03-15 |
| 1811219736 | Kelly Gray | Pharmacist | 41 Albany Sreet, Cazenovia, NY 13035 | 2010-02-19 |
| 1417019076 | Kelly A. Gray | Physical Therapist | 42 E 32nd St, Bayonne, NJ 07002-4709 | 2006-12-13 |
| 1700346798 | Kelly Gray | Registered Nurse | 5231 Penn Ave Fl 1, Pittsburgh, PA 15224-1768 | 2019-03-25 |
| 1134511314 | Kelly Gray | Speech-Language Pathologist | 815 Triplett St, Owensboro, KY 42303-3564 | 2015-02-25 |
| Street Address |
20010 CENTURY BLVD STE 200 |
| City | GERMANTOWN |
| State | MD |
| Zip Code | 20874-1118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942367289 | Andrea Dimond | Pediatrics | 20010 Century Blvd Ste 200, Germantown, MD 20874-1118 | 2007-01-03 |
| 1790296200 | Sky Physicians, LLC | Emergency Medicine | 20010 Century Blvd Ste 200, Germantown, MD 20874-1118 | 2017-10-24 |
| 1780105460 | Alexandra Beach | Physician Assistant | 20010 Century Blvd Ste 200, Germantown, MD 20874-1118 | 2017-07-03 |
| 1730560137 | Amber Peterson | Emergency Medicine | 20010 Century Blvd Ste 200, Germantown, MD 20874 | 2015-06-11 |
| 1619364023 | Praneeth Thunga Reddy | Emergency Medicine | 20010 Century Blvd Ste 200, Germantown, MD 20874 | 2015-04-23 |
| 1649665027 | Tooba Raza | Internal Medicine | 20010 Century Blvd Ste 200, Germantown, MD 20874 | 2015-04-01 |
| 1255724456 | Viola Winata | Pediatrics | 20010 Century Blvd Ste 200, Germantown, MD 20874-1118 | 2015-03-12 |
| 1013321462 | Sarah Nell Shomper | Physician Assistant | 20010 Century Blvd Ste 200, Germantown, MD 20874-1118 | 2014-06-13 |
| 1952712911 | Murteza M Shahkolahi | Emergency Medicine | 20010 Century Blvd Ste 200, Germantown, MD 20874 | 2014-05-13 |
| 1053722025 | Pouya Gharahdaghi | Emergency Medicine | 20010 Century Blvd Ste 200, Germantown, MD 20874 | 2014-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768973 | Lauren Grace Dovin | Speech-Language Pathologist | 18501 Cinnamon Dr. Germantown, Germantown, MD 20874 | 2019-09-04 |
| 1578119376 | Kevin Crippen | Speech-Language Pathologist | Seneca Valley High School, 19401 Crystal Rock Drive, Germantown, MD 20874 | 2019-08-16 |
| 1245700830 | Heather Macvean | Behavioral Analyst | 18100 Chalet Dr Apt 301, Germantown, MD 20874 | 2018-11-27 |
| 1811414014 | Wanai Sen Kum | Pharmacist | 12825 Westeria Drive, Germantown, MD 20874 | 2017-08-28 |
| 1417409160 | Bornfree Wellness Centers of America | Substance Abuse Rehabilitation Facility | 19537 Doctor's Drive, Germantown, MD 20874 | 2016-10-28 |
| 1396119210 | Darling St Louis | Social Worker | 18936 Port Haven Pl, Germantown, MD 20874 | 2015-11-16 |
| 1003289067 | Olayiwola O Oloko | Home Health Aide | 19300 Circle Gate Dr #201, Germantown, MD 20874 | 2015-11-12 |
| 1831562446 | Joanne Croos | Physical Therapist | 13905 Briarwick St, Germantown, MD 20874 | 2015-11-04 |
| 1255717070 | Caring Health Services Inc | Case Management | 12312 Quail Woods Dr, Germantown, MD 20874 | 2015-08-04 |
| 1184007817 | Mobile Medical Care, Inc. | Clinic/Center | 981 Rollins Ave., Rockville, MD 20874 | 2015-06-30 |
| Find all providers in zip 20874 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194146589 | Harcart Health Holdings LLC | Emergency Medicine | 19777 North Frederick Rd, Germantown, MD 20876-1307 | 2014-01-02 |
| 1710246186 | Cyril Xi Chen | Emergency Medicine | 21206 Watercress Cir, Germantown, MD 20876-5927 | 2012-05-04 |
| 1871884304 | David Alexander Chrostowski | Emergency Medicine | 20010 Century Boulevard, Suite 200, Germantown, MD 20874 | 2011-05-02 |
| 1053610394 | Gurkiran K Sardar | Emergency Medicine | 20010 Century Blvdm, Suite 200, Germantown, MD 20874 | 2011-03-25 |
| 1205031390 | Benjamin David Bowman | Emergency Medicine | 1920 Hunters Hill Dr, Germantown, TN 38138-2741 | 2007-06-19 |
| 1700095056 | Dean Moore II | Emergency Medicine | 12410 Milestone Center Dr, Suite 225, Germantown, MD 20876-7101 | 2007-05-22 |
| 1801813985 | Yuen-yee Fong | Emergency Medicine | 9455 Forestwood Rd, Germantown, TN 38138-8515 | 2006-07-16 |
| 1619917275 | Phillip Dewayne Waldrup | Emergency Medicine | 8945 Claiborne Farm Dr, Germantown, TN 38138-8244 | 2006-06-08 |
| 1922068154 | Robert L. Harvey Jr. | Emergency Medicine | 20251 Century Blvd, Ste 130, Germantown, MD 20874-1162 | 2006-03-23 |
| 1295706828 | Napoleon Bustamante Magpantay IIi | Emergency Medicine | 20010 Century Blvd, Suite 200, Germantown, MD 20874-1115 | 2006-01-31 |
| Find all providers in GERMANTOWN | ||||
| City | GERMANTOWN |
| Zip Code | 20874 |
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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.