David A Gray (NPI# 1053312256, PAC ID# 8123007655) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1053312256 |
| PAC ID by PECOS | 8123007655 |
| Professional Enrollment ID | I20080709000721 |
| Full Name | David A Gray |
| Organization Legal Name | PARK NICOLLET CLINIC |
| Address |
18432 Kenrick Ave Lakeville MN 55044-9288 |
| Phone Number | 9529938800 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 1997 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7911819438 |
| Number of Group Practice Members | 1323 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240053 | PARK NICOLLET METHODIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5320 Hyland Greens Dr, Bloomington, MN 55437-3934 | 9529932400 | PARK NICOLLET CLINIC |
| 18432 Kenrick Ave, Lakeville, MN 55044-9288 | 9529938800 | PARK NICOLLET CLINIC |
| 4670 Park Nicollet Ave Se, Prior Lake, MN 55372-4119 | 9529937750 | PARK NICOLLET CLINIC |
| 1415 Saint Francis Ave, Shakopee, MN 55379-3374 | 9529937750 | PARK NICOLLET CLINIC |
| 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | PARK NICOLLET CLINIC | |
| 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 9529933123 | PARK NICOLLET CLINIC |
| 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | PARK NICOLLET CLINIC |
| Organization Legal Name | PARK NICOLLET CLINIC |
| Physicians | 1272 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Grace Marie Irish | Nurse Practitioner | Park Nicollet Clinic | 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 |
| Johanna Dijkstal Beebe | Ophthalmology | Park Nicollet Clinic | 250 Central Ave N, Wayzata, MN 55391-1206 |
| Lonzale Ramsey | Family Medicine | Park Nicollet Clinic | 2001 Blaisdell Ave, Minneapolis, MN 55404-2414 |
| Kurt Wolff | Physical Therapy | Park Nicollet Clinic | 15800 N 95th Ave, Maple Grove, MN 55369-4400 |
| Alexandra E Wells | Internal Medicine | Park Nicollet Clinic | 13688 Rogers Dr, Rogers, MN 55374-4916 |
| Mysoon M Ayuob | Family Medicine | Park Nicollet Clinic | 15111 Twelve Oaks Ctr Dr, Minnetonka, MN 55305-5201 |
| Brian Lee Walters | Orthopedic Surgery | Park Nicollet Clinic | 14000 Fairview Dr, Burnsville, MN 55337-5713 |
| Jared J Mell | Family Medicine | Park Nicollet Clinic | 4951 Excelsior Blvd, St Louis Park, MN 55416-3033 |
| Sean M Reardon | Clinical Psychologist | Park Nicollet Clinic | 9555 Upland N Ln, Maple Grove, MN 55369-4485 |
| Jeffrey J Mohr | Physician Assistant | Park Nicollet Clinic | 1885 Plaza Dr, Eagan, MN 55122-2979 |
| Street Address |
18432 KENRICK AVE |
| City | LAKEVILLE |
| State | MN |
| Zip | 55044-9288 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristin A Witte | Family Medicine | Park Nicollet Clinic | 18432 Kenrick Ave, Lakeville, MN 55044-9288 |
| Thomas J Davis | Cardiovascular Disease (cardiology) | Park Nicollet Clinic | 18432 Kenrick Ave, Lakeville, MN 55044-9288 |
| Kristi A Trostel | Internal Medicine | Park Nicollet Clinic | 18432 Kenrick Ave, Lakeville, MN 55044-9288 |
| Geeta L Balkissoon | Family Medicine | Park Nicollet Clinic | 18432 Kenrick Ave, Lakeville, MN 55044-9288 |
| Zhen Zhen X Luo | Internal Medicine | Park Nicollet Clinic | 18432 Kenrick Ave, Lakeville, MN 55044-9288 |
| Anne B Neeley | Dermatology | Park Nicollet Clinic | 18432 Kenrick Ave, Lakeville, MN 55044-9288 |
| Phillip M Kofron | Family Medicine | Park Nicollet Clinic | 18432 Kenrick Ave, Lakeville, MN 55044-9288 |
| Heidi R Kimmel | Physician Assistant | Park Nicollet Clinic | 18432 Kenrick Ave, Lakeville, MN 55044-9288 |
| Peter D Kent | Rheumatology | Park Nicollet Clinic | 18432 Kenrick Ave, Lakeville, MN 55044-9288 |
| Daniel S Hanson | Family Medicine | Park Nicollet Clinic | 18432 Kenrick Ave, Lakeville, MN 55044-9288 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily A Huseth | Chiropractic | Turning Leaf Chiropractic Pa | 10440 185th W St, Suite 300, Lakeville, MN 55044 |
| Jill R Hammes | Chiropractic | Turning Leaf Chiropractic Pa | 10440 185th W St, Suite 300, Lakeville, MN 55044 |
| Rebekah M Oakland-garey | Chiropractic | Turning Leaf Chiropractic Pa | 10440 185th W St, Suite 300, Lakeville, MN 55044 |
| Alice S Mann | Family Medicine | Northfield Hospital | 9974 214th St W, Lakeville, MN 55044-1913 |
| Joel H Hendrickson | Emergency Medicine | Northfield Hospital | 9974 214th St W, Lakeville, MN 55044-1913 |
| Jason C Davis | Physician Assistant | Northfield Hospital | 9974 214th St W, Lakeville, MN 55044-1913 |
| Suzanne M Schaefer | Family Medicine | Northfield Hospital | 9974 214th St W, Lakeville, MN 55044-1913 |
| Mary A Scheid | Family Medicine | Northfield Hospital | 9974 214th St W, Lakeville, MN 55044-1913 |
| Debra M Mcguire-lang | Physician Assistant | Northfield Hospital | 9974 214th St W, Lakeville, MN 55044-1913 |
| Gretchen A Herrmann | Physician Assistant | Northfield Hospital | 9974 214th St W, Lakeville, MN 55044-1913 |
| Find all physicians in zip 55044 | |||
| City | LAKEVILLE |
| Zip Code | 55044 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LAKEVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on David 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.