MICHAEL E GRAY (NPI# 1932164126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932164126 |
| Entity Type | Individual |
| Full Name | MICHAEL E GRAY |
| Credential | MD |
| Practice Address |
801 Pole Line Rd W Twin Falls ID 83301-5810 |
| Mailing Address |
Po Box 553 Twin Falls ID 83303-0553 |
| Practice Telephone | 2088140362 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2011-11-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
M-8013 | ID | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891285300 | Michael Anthony Gray | Case Manager/Care Coordinator | 2218 Nw 36th St, Lawton, OK 73505 | 2018-05-10 |
| 1003321423 | Michael Andrew Gray | Pharmacist | 202 S Mockingbird Ln, Keene, TX 76059-1930 | 2017-12-07 |
| 1265833966 | Michael Gray | Social Worker | 1431 Park Pl Apt 3, Brooklyn, NY 11213-3068 | 2014-09-12 |
| 1265799944 | Michael Ryan Gray | Counselor | 14515 A St S Apt 103d, Tacoma, WA 98444-6943 | 2012-04-18 |
| 1144494287 | Michael Gray | Military Health Care Provider | Psc 564 373, Fpo, AP 96387 | 2008-04-19 |
| 1275734964 | Michael W Gray | Surgery | 6635 Daly Rd, West Bloomfield, MI 48322-3410 | 2007-05-30 |
| 1134277247 | Michael Robert Gray | Psychiatry & Neurology | 2 W 46th St, Suite 506, New York, NY 10036-4811 | 2007-01-08 |
| 1891865382 | Michael Patrick Gray | Psychologist | 6122 Ridge Ave, Philadelphia, PA 19128-1603 | 2006-11-09 |
| 1477634350 | Michael T Gray | Specialist | 125 Sunrise Hwy, West Islip, NY 11795-2023 | 2006-10-18 |
| 1639120520 | Michael R Gray | Internal Medicine | 300 S Ocotillo Ave, Benson, AZ 85602-6401 | 2006-05-15 |
| Street Address |
801 POLE LINE RD W |
| City | TWIN FALLS |
| State | ID |
| Zip Code | 83301-5810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891784245 | Elizabeth Jo Johnson | Family Medicine | 801 Pole Line Rd W, Suite 3810, Twin Falls, ID 83301-5810 | 2005-10-18 |
| 1164022919 | Grace Honecker | Dietitian, Registered | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 | 2020-10-30 |
| 1699384990 | Mckenzie Kennell | Pharmacist | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 | 2020-07-23 |
| 1528676277 | Gregory Haws | Pharmacist | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 | 2020-07-20 |
| 1699383349 | Taylor Sebert | Pharmacist | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 | 2020-07-20 |
| 1740803931 | Peggy M Doshier | Social Worker | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 | 2020-05-21 |
| 1457984718 | Edward L Fuchs | Pharmacist | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 | 2020-02-14 |
| 1124659214 | Greg Hegman | Pharmacist | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 | 2020-01-28 |
| 1598396772 | Amanda Lynn Tyler | Pharmacist | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 | 2020-01-28 |
| 1881224327 | St Lukes Magic Valley Regional Medical Center Ltd | Pharmacy | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 | 2020-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023645918 | Matthew Anderson | Pharmacist | Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 | 2020-03-23 |
| 1780146316 | Frontier Pediatric Partners, Pllc | Pediatrics | 1502 Locust Street N #700, Twin Falls, ID 83301 | 2019-04-02 |
| 1972073377 | Wood River Acupuncture | Acupuncturist | 1625 Addison Ave East, Twin Falls, ID 83301 | 2018-11-28 |
| 1235629874 | Lonnie Paul | Counselor | 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 | 2018-05-17 |
| 1679060966 | Christina Jirapha Thongdee | Social Worker | 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 | 2018-04-23 |
| 1437658499 | Tyrel Kevin Ward | Chiropractor | 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 | 2018-02-06 |
| 1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
| 1578005195 | Matthew Carter | Physical Therapist | 1053 Eastland Drive, Twin Falls, ID 83301 | 2016-11-14 |
| 1790227783 | Murvat Usmanova | Nurse Practitioner | 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 | 2016-11-08 |
| 1265894687 | Shawna Fultz | Social Worker | 1201 Fall Ave East Suite C, Twin Falls, ID 83301 | 2016-03-24 |
| Find all providers in zip 83301 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356393631 | Jane Ann Bennett-munro | Pathology | 650 Addison Ave W, Twin Falls, ID 83303-0409 | 2006-05-16 |
| 1265497333 | John B Gray | Pathology | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952673204 | Donald K Merkeley | Pathology | 16301 E Bunco Rd, Athol, ID 83801-5048 | 2012-02-02 |
| 1013159441 | Lawrence Lyle Knight | Pathology | 5181 N Lakemont Ln, Garden City, ID 83714-1772 | 2009-03-31 |
| 1578674560 | Daniel Louis Toweill | Pathology | 1151 W. Miller St., Boise, ID 83702-6965 | 2006-08-31 |
| 1821093527 | Michael J Myhre | Pathology | 1151 Miller St, Boise, ID 83702-6965 | 2005-06-17 |
| 1215253240 | Elizabeth M Williams | Pathology | 190 E Bannock St, Boise, ID 83712-6241 | 2010-04-15 |
| 1386960466 | Karen Ann Johnson | Pathology | 190 E Bannock St, Boise, ID 83712-6241 | 2010-04-14 |
| 1013168830 | Brian John Hall | Pathology | 999 N Curtis Rd, Ste 117, Boise, ID 83706-1336 | 2008-10-10 |
| 1871758177 | Roshan S Patel | Pathology | 98 Poplar St, Blackfoot, ID 83221-1758 | 2008-07-25 |
| 1821261918 | Mark Owen Moore | Pathology | 999 N Curtis Rd, Suite 117, Boise, ID 83706-1336 | 2008-04-09 |
| 1093996365 | Rebecca L. Fulton | Pathology | 415 6th St, Pathologists' Regional Laboratory, Lewiston, ID 83501-2431 | 2007-11-15 |
| Find all providers with the same taxonomy | ||||
| City | TWIN FALLS |
| Zip Code | 83301 |
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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.