MATTHEW GRAY (NPI# 1972923605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972923605 |
| Entity Type | Individual |
| Full Name | MATTHEW GRAY |
| Credential | PA-C |
| Practice Address |
7050 Air Depot Blvd Bldg 1094 72mdg Tinker Afb OK 73145-8716 |
| Practice Telephone | 4055822778 |
| Mailing Telephone | 4055822778 |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2015-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467961334 | Matthew Gray | Specialist/Technologist | 450 Hanford St, Richland, WA 99354-1622 | 2017-09-23 |
| 1043594773 | Matthew Lynn Gray | Dentist | 3670 Woodward Ave, Suite 101b, Detroit, MI 48201-2455 | 2011-09-29 |
| 1255576864 | Matthew Scott Gray | Dentist | 118 Sw 330th St, Suite 103, Federal Way, WA 98023-6185 | 2008-12-10 |
| 1255527305 | Matthew Patrick Gray | Physical Therapist | 894 Spruce Ct, Vail, CO 81657-4455 | 2007-09-22 |
| 1073704904 | Matthew Philip Gray | Dentist | 11920 E 86th St N, Owasso, OK 74055 | 2007-08-06 |
| 1962054148 | Matthew Gray | Social Worker | 4633 Aicholtz Rd, Cincinnati, OH 45244-1447 | 2019-07-09 |
| 1104393446 | Matthew Gray | Military Health Care Provider | 2630 Central Ave, Eielson Afb, AK 99702-2301 | 2018-10-24 |
| 1114412533 | Matthew Gray | Developmental Therapist | 345a Greenwood Street, Suite B, Worcester, MA 01607 | 2018-06-27 |
| 1770089922 | Matthew Gray | Student in an Organized Health Care Education/Training Program | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2018-04-04 |
| 1003346776 | Matthew Gray | Emergency Medicine | 115 W Silver St, Westfield, MA 01085-3678 | 2017-06-15 |
| Street Address |
7050 AIR DEPOT BLVD BLDG 1094 72MDG |
| City | TINKER AFB |
| State | OK |
| Zip Code | 73145-8716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760470835 | P.m. Maese | Nurse Practitioner | 7050 Air Depot Blvd Bldg 1094, Tinker Afb, OK 73145-8716 | 2005-10-12 |
| 1184182081 | Joseph Shepherd | Dietitian, Registered | 7050 Air Depot Blvd Bldg 1094, Tinker Afb, OK 73145-8716 | 2019-03-10 |
| 1881178044 | Audrick Yee | Nurse Practitioner | 7050 Air Depot Blvd Bldg 1094, Tinker Afb, OK 73145-8716 | 2018-09-23 |
| 1003332404 | Davis Brigman | Psychologist | 7050 Air Depot Blvd Bldg 1094, Tinker Afb, OK 73145 | 2017-08-17 |
| 1801321393 | Carolyne Bangurah | Registered Nurse | 7050 Air Depot Blvd Bldg 1094, Tinker Afb, OK 73145 | 2017-04-21 |
| 1730611062 | Jamie Burks | Pharmacist | 7050 Air Depot Blvd Bldg 1094, Tinker Afb, OK 73145-8716 | 2017-03-27 |
| 1689119430 | Anne Trager | Student in an Organized Health Care Education/Training Program | 7050 Air Depot Blvd Bldg 1094, Tinker Afb, OK 73145-8716 | 2017-01-04 |
| 1508211491 | Joshua Edwin Wiser | Pharmacist | 7050 Air Depot Blvd Bldg 1094, Tinker Afb, OK 73145-8716 | 2016-04-28 |
| 1285097691 | Stephen Hahn | Psychiatry & Neurology | 7050 Air Depot Blvd Bldg 1094, Tinker Afb, OK 73145-8716 | 2016-04-02 |
| 1558748491 | Caitlin Clare Stevens | General Practice | 7050 Air Depot Blvd Bldg 1094, Tinker Afb, OK 73145 | 2015-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922630946 | The Janz Corporation | Durable Medical Equipment & Medical Supplies | Tinker Afb Exchange, 3360 N. Avenue Bldg. 685, Tinker Afb, OK 73145 | 2020-02-07 |
| 1578863437 | Stephanie Brushett | Audiologist | 8941 Entrance Road A, Bldg 3334, Rm 125, Tinker Afb, OK 73145 | 2010-10-26 |
| 1972530053 | Mark Robert Bacon | Physician Assistant | 72nd Medical Group, 5700 Arnold St, Tinker Afb, OK 73145 | 2006-06-26 |
| 1417945346 | Heather Renee' Ranger Kobel | Psychologist | 590 Mitchell Blvd, Tinker Afb, OK 73145 | 2005-10-13 |
| 1598148850 | Adrianna Harrell | Social Worker | 7050 Air Depot Blvd, Tinker Afb, OK 73145 | 2015-07-06 |
| 1699015032 | Alan Robert Miner | General Practice | 7050 Air Depot Blvd, Oklahoma City, OK 73145 | 2013-02-21 |
| 1033498571 | Sarah Katherine Turbush | Dentist | 72d Medical Group, Tinker Afb, OK 73145 | 2011-08-16 |
| 1659682805 | Nikki Louise Mochko | Dentist | 7050 Air Depot Blvd, Tinker Afb, OK 73145 | 2010-06-22 |
| 1508000282 | Axelandra Tamar Sang | Military Health Care Provider | 5700 Arnold St, Bldg 5801, Tinker Afb, OK 73145 | 2009-04-27 |
| 1336354125 | Cedar Jackson | Nurse Practitioner | 7050 Air Depot Blvd, Tinker Afb, OK 73145 | 2007-05-14 |
| Find all providers in zip 73145 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972530053 | Mark Robert Bacon | Physician Assistant | 72nd Medical Group, 5700 Arnold St, Tinker Afb, OK 73145 | 2006-06-26 |
| 1326479619 | Nathan Hamilton | Physician Assistant | 7050 Air Depot Blvd, Sgof, Tinker Afb, OK 73145-8716 | 2013-12-11 |
| 1407002520 | Caitlin Elizabeth Michael | Physician Assistant | 5700 Arnold St, 72mdg/sgol, Tinker Afb, OK 73145-8105 | 2008-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790392868 | James Scott Turner | Physician Assistant | 924 Nw 14th St, Moore, OK 73160-1610 | 2020-09-23 |
| 1386283679 | Cody Rice Chambers | Physician Assistant | 2002 12th Ave Nw Ste B, Ardmore, OK 73401-1206 | 2020-01-03 |
| 1073154647 | Haley Nicole Beaird | Physician Assistant | 8907 E 93rd St, Tulsa, OK 74133-5634 | 2019-10-03 |
| 1568920924 | Direct2u Urgent Care Pllc | Physician Assistant | 2417 County Road 1263, Blanchard, OK 73010-3123 | 2019-03-05 |
| 1538625660 | Symachia LLC | Physician Assistant | 115 N. Main St., Cashion, OK 73106 | 2019-02-13 |
| 1982172029 | William Landon Ross | Physician Assistant | 3705 W Memorial Rd Ste 101, Oklahoma City, OK 73134-1508 | 2018-11-07 |
| 1639646656 | Jacob Allbritton | Physician Assistant | 10824 Admiral Dr, Oklahoma City, OK 73162-6843 | 2018-10-29 |
| 1316420086 | Lauren Anto | Physician Assistant | 2824 Classen Blvd Ste 100, Norman, OK 73071-4059 | 2018-09-10 |
| 1073004768 | Shelby Teel | Physician Assistant | 1200 Everett Dr # 8305, Oklahoma City, OK 73104-5047 | 2018-05-29 |
| 1093240749 | Green's Country Clinic, LLC | Physician Assistant | 223 E Blackwell Ave, Blackwell, OK 74631-2909 | 2017-05-01 |
| Find all providers with the same taxonomy | ||||
| City | TINKER AFB |
| Zip Code | 73145 |
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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.