Burgandy Ann Gray (NPI# 1063800464, PAC ID# 4082931670) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1063800464 |
| PAC ID by PECOS | 4082931670 |
| Professional Enrollment ID | I20150319000069 |
| Full Name | Burgandy Ann Gray |
| Organization Legal Name | ARNOT OGDEN MEDICAL CENTER |
| Address |
100 John Roemmelt Dr Fl 3 Horseheads NY 14845-8301 |
| Phone Number | 6077390352 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5395798417 |
| Number of Group Practice Members | 99 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330090 | ARNOT OGDEN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 200 Madison Ave, Elmira, NY 14901-3219 | ARNOT OGDEN MEDICAL CENTER | |
| 600 Roe Ave, Elmira, NY 14905-1629 | ARNOT OGDEN MEDICAL CENTER | |
| 602 Ivy St, Elmira, NY 14905-1646 | 6077374422 | ARNOT OGDEN MEDICAL CENTER |
| 602 Ivy St, Fl 2, Elmira, NY 14905-1646 | 6077354633 | ARNOT OGDEN MEDICAL CENTER |
| 100 John Roemmelt Dr, Fl 3, Horseheads, NY 14845-8301 | 6077390352 | ARNOT OGDEN MEDICAL CENTER |
| Organization Legal Name | ARNOT OGDEN MEDICAL CENTER |
| Physicians | 38 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Harold J Hoffmeier Jr. | Physician Assistant | Arnot Ogden Medical Center | 104 S Porter St, Watkins Glen, NY 14891-1622 |
| Kristine A Hill | Nurse Practitioner | Arnot Ogden Medical Center | 602 Ivy St, Fl 2, Elmira, NY 14905-1646 |
| Richard R Terry | Family Medicine | Arnot Ogden Medical Center | 200 Madison Ave, Suite 2b, Elmira, NY 14901-3219 |
| Katie L Dieterle | Physician Assistant | Arnot Ogden Medical Center | 521 W Seneca St, Ithaca, NY 14850-4033 |
| Stephen Andrew Manganaro | Emergency Medicine | Arnot Ogden Medical Center | 600 Roe Ave, Elmira, NY 14905-1629 |
| William E Clack | Dermatology | Arnot Ogden Medical Center | 200 Madison Ave, Suite 2b, Elmira, NY 14901-3219 |
| Todd Jun Wang | Family Medicine | Arnot Ogden Medical Center | 100 John Roemmelt Dr, Suite 301, Horseheads, NY 14845-8304 |
| Erica L Mendelsohn | Physician Assistant | Arnot Ogden Medical Center | 100 John Roemmelt Dr, Fl 3, Horseheads, NY 14845-8301 |
| Paul Povanda | General Practice | Arnot Ogden Medical Center | 200 Madison Ave, Fl 3, Elmira, NY 14901-3219 |
| Nadanaguru Akila | Internal Medicine | Arnot Ogden Medical Center | 600 Roe Ave, Elmira, NY 14905-1629 |
| Street Address |
100 JOHN ROEMMELT DR FL 3 |
| City | HORSEHEADS |
| State | NY |
| Zip | 14845-8301 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Todd Jun Wang | Family Medicine | Arnot Ogden Medical Center | 100 John Roemmelt Dr, Suite 301, Horseheads, NY 14845-8304 |
| Allison Dhaene | Physician Assistant | Arnot Medical Services Pllc | 100 John Roemmelt Dr, Suite 102, Horseheads, NY 14845-8302 |
| Erica L Mendelsohn | Physician Assistant | Arnot Ogden Medical Center | 100 John Roemmelt Dr, Fl 3, Horseheads, NY 14845-8301 |
| Shirley John Glann | Nurse Practitioner | Arnot Medical Services Pllc | 100 John Roemmelt Dr, Suite 204, Horseheads, NY 14845-8304 |
| Rebecca O Fears | Nurse Practitioner | Arnot Medical Services Pllc | 100 John Roemmelt Dr, Suite 300, Horseheads, NY 14845-8304 |
| Walter Freeman | Obstetrics/gynecology | Arnot Medical Services Pllc | 100 John Roemmelt Dr, Suite 102, Horseheads, NY 14845-8302 |
| Nicole M Mosher | Nurse Practitioner | Arnot Ogden Medical Center | 100 John Roemmelt Dr, Suite 300, Horseheads, NY 14845-8304 |
| Vidyasagar Mokureddy | Pain Management | Arnot Medical Services Pllc | 100 John Roemmelt Dr, Fl 3, Horseheads, NY 14845-8301 |
| Ahmet Can | Endocrinology | Arnot Medical Services Pllc | 100 John Roemmelt Dr, Horseheads, NY 14845-8303 |
| Jill A Reidy | Nurse Practitioner | Arnot Medical Services Pllc | 100 John Roemmelt Dr, Horseheads, NY 14845-8303 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas James Thurber | Podiatry | Thurber and Thurber, Dpm PC | 3345 Chambers Rd, Suite 4, Horseheads, NY 14845-1401 |
| Haekang Yang | Podiatry | Thurber and Thurber, Dpm PC | 3345 Chambers Rd, Suite 4, Horseheads, NY 14845-1401 |
| Christopher Capilli | Physical Therapy | Guthrie Medical Group PC | 3344 Chambers Rd, Horseheads, NY 14845-1403 |
| Stephen E Tolly | Physical Therapy | Guthrie Medical Group PC | 3344 Chambers Rd, Horseheads, NY 14845-1403 |
| Michael Cilip Jr. | Internal Medicine | 3300 Chambers Rd, Suite 5238, Horseheads, NY 14845-1420 | |
| Sharon P Ferguson | Nurse Practitioner | Bethany Nursing Home and Health Related Facility, Inc. | 3005 Watkins Rd, Horseheads, NY 14845-1800 |
| Joel A Schoenberg | Family Medicine | Bethany Nursing Home and Health Related Facility, Inc. | 3005 Watkins Rd, Horseheads, NY 14845-1800 |
| Roger G Schenone | Internal Medicine | Bethany Nursing Home and Health Related Facility, Inc. | 3005 Watkins Rd, Horseheads, NY 14845-1800 |
| Megan M Peterson | Nurse Practitioner | Bethany Nursing Home and Health Related Facility, Inc. | 3005 Watkins Rd, Horseheads, NY 14845-1800 |
| Marc Riley | Physical Therapy | Marc T Riley, Pt, PC | 133 N Main St, Horseheads, NY 14845-2175 |
| Find all physicians in zip 14845 | |||
| City | HORSEHEADS |
| Zip Code | 14845 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | HORSEHEADS + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Burgandy Ann 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.