Preston A Gray (NPI# 1386980597, PAC ID# 0244461267) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1386980597 |
| PAC ID by PECOS | 0244461267 |
| Professional Enrollment ID | I20140314001520 |
| Full Name | Preston A Gray |
| Organization Legal Name | ALTA CANYON SPINE LLC |
| Address |
5770 S 250 Suite 135 Murray UT 84107-8241 |
| Phone Number | 8013142225 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7315213527 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460049 | THE ORTHOPEDIC SPECIALTY HOSPITAL |
| 460060 | LONE PEAK HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5770 S 250, Suite 135, Murray, UT 84107-8241 | 8013142225 | ALTA CANYON SPINE LLC |
| Organization Legal Name | ALTA CANYON SPINE LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin B Hohl | Orthopedic Surgery | Alta Canyon Spine LLC | 5770 S 250, Suite 135, Murray, UT 84107-8241 |
| Street Address |
5770 S 250 SUITE 135 |
| City | MURRAY |
| State | UT |
| Zip | 84107-8241 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen M Clements | Physician Assistant | Brent J Bowen Md PC | 5770 S 250, Suite 235, Murray, UT 84107-6191 |
| Sarah Earhart | Registered Dietitian Or Nutrition Professional | Ihc Health Services Inc | 5770 S 250, Suite 310, Murray, UT 84107-8110 |
| Tom Vernon Cloward | Sleep Medicine | Ihc Health Services Inc | 5770 S 250, Suite 340, Salt Lake City, UT 84107-8163 |
| Jared W Parker | Ophthalmology | Ungricht Parker Eye Associates Inc | 5770 S 250, Suite 410, Murray, UT 84107-8178 |
| Terry C Sawchuk | Physical Medicine and Rehabilitation | 5770 S 250, Suite 135, Salt Lake City, UT 84107-8241 | |
| Mckenzie Momberger | Physician Assistant | Ihc Health Services Inc | 5770 S 250, Suite 210, Murray, UT 84107-6163 |
| Kimberly Olson Sieber | Psychologist, Clinical | Ihc Health Services Inc | 5770 S 250, Tosh Physicians Billing, Murray, UT 84107-8100 |
| Cathy M Seegers | Nurse Practitioner | Ihc Health Services Inc | 5770 S 250, Tosh Physicians Billing, Murray, UT 84107-8100 |
| Thomas E Gayer | Optometry | Ungricht Parker Eye Associates Inc | 5770 S 250, Suite 410, Murray, UT 84107-8178 |
| Allyson Taylor | Nurse Practitioner | Ihc Health Services Inc | 5770 S 250, Suite 310, Murray, UT 84107-8110 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randy B Carter | Optometry | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Darcy H Wolsey | Ophthalmology | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Zachary J Zavodni | Ophthalmology | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Robert J Cionni | Ophthalmology | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Kristin O Chapman | Ophthalmology | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Robert J Matejka | Anesthesiology | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Bruce F Gladwell | Certified Registered Nurse Anesthetist (crna) | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Laura J Springhetti | Certified Registered Nurse Anesthetist (crna) | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Sally J Brush | Nurse Practitioner | 888 E 3900, Salt Lake City, UT 84107-2151 | |
| Alireza Falahati-nini | Endocrinology | Utah Endocrinology Associates Pllc | 470 E 3900, Suite 200, Salt Lake City, UT 84107-2332 |
| Find all physicians in zip 84107 | |||
| City | MURRAY |
| Zip Code | 84107 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MURRAY + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Preston A Gray.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.