Samuel Thomas Gray (NPI# 1184088486, PAC ID# 4688901069) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1184088486 |
| PAC ID by PECOS | 4688901069 |
| Professional Enrollment ID | I20190807003264 |
| Full Name | Samuel Thomas Gray |
| Address |
46090 Lake Ctr Plz Suite 204 Sterling VA 20165-5878 |
| Gender | M |
| Medical School | OHIO COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 2016 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490043 | INOVA LOUDOUN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 46090 Lake Ctr Plz, Suite 204, Sterling, VA 20165-5878 |
| Street Address |
46090 LAKE CTR PLZ SUITE 204 |
| City | STERLING |
| State | VA |
| Zip | 20165-5878 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tsion Y Adane | Nurse Practitioner | Rediclinic of Va LLC | 20800 Great Falls Plz, Sterling, VA 20165-2464 |
| Susan Irene Borgiasz | Nurse Practitioner | Rediclinic of Va LLC | 20800 Great Falls Plz, Sterling, VA 20165-2464 |
| Hirut A Gebre | Nurse Practitioner | Rediclinic of Va LLC | 20800 Great Falls Plz, Sterling, VA 20165-2464 |
| Catherine Eileen Carroll | Physical Therapy | Comprehensive Therapeutics Ltd | 45800 Jona Dr, Potomac Falls, VA 20165-5685 |
| Jane Stewart Hatfield | Qualified Speech Language Pathologist | Comprehensive Therapeutics Ltd | 45800 Jona Dr, Potomac Falls, VA 20165-5685 |
| Kelly Makay Wininger | Physical Therapy | Comprehensive Therapeutics Ltd | 45800 Jona Dr, Potomac Falls, VA 20165-5685 |
| Cristy Cassady | Occupational Therapy | Comprehensive Therapeutics Ltd | 45800 Jona Dr, Potomac Falls, VA 20165-5685 |
| Arlene Blackford | Occupational Therapy | Comprehensive Therapeutics Ltd | 45800 Jona Dr, Potomac Falls, VA 20165-5685 |
| Snigdha Roychoudhary | Physical Therapy | Comprehensive Therapeutics Ltd | 45800 Jona Dr, Potomac Falls, VA 20165-5685 |
| Mary Ambrose | Qualified Speech Language Pathologist | Comprehensive Therapeutics Ltd | 45800 Jona Dr, Potomac Falls, VA 20165-5685 |
| Find all physicians in zip 20165 | |||
| City | STERLING |
| Zip Code | 20165 |
| Specialty | PODIATRY |
| City + Specialty | STERLING + PODIATRY |
Please comment or provide details below to improve the information on Samuel Thomas 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.