John B Gray (NPI# 1265497333, PAC ID# 9234228164) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
Nation Provider ID (NPI) | 1265497333 |
PAC ID by PECOS | 9234228164 |
Professional Enrollment ID | I20120109000408 |
Full Name | John B Gray |
Organization Legal Name | VALLEY PATHOLOGY ASSOCIATES LLC |
Address |
801 Pole Line Rd W Twin Falls ID 83301-5810 |
Phone Number | 2088140361 |
Gender | M |
Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
Graduation Year | 1975 |
Primary Specialty | PATHOLOGY |
Group Practice PAC ID | 0244329175 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
130002 | ST LUKES MAGIC VALLEY MEDICAL CENTER |
131323 | ST LUKE'S WOOD RIVER MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
801 Pole Line Rd W, Twin Falls, ID 83301-5810 | 2088140361 | VALLEY PATHOLOGY ASSOCIATES LLC |
Organization Legal Name | VALLEY PATHOLOGY ASSOCIATES LLC |
Physicians | 6 |
Name | Specialty | Organization | Address |
---|---|---|---|
Nathan J Thompson | Pathology | Valley Pathology Associates LLC | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 |
Thomas J Steidler | Pathology | Valley Pathology Associates LLC | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 |
Kirk C Peterson | Pathology | Valley Pathology Associates LLC | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 |
Jane Bennett-munro | Pathology | Valley Pathology Associates LLC | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 |
Michael E Gray | Pathology | Valley Pathology Associates LLC | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 |
Street Address |
801 POLE LINE RD W |
City | TWIN FALLS |
State | ID |
Zip | 83301-5810 |
Name | Specialty | Organization | Address |
---|---|---|---|
Paul K Stevens | Obstetrics/gynecology | St Luke's Clinic LLC | 801 Pole Line Rd W, Twin Falls, ID 83301-5811 |
Nathan J Thompson | Pathology | Valley Pathology Associates LLC | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 |
Thomas J Steidler | Pathology | Valley Pathology Associates LLC | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 |
Pamela D Mills | Obstetrics/gynecology | St Luke's Clinic LLC | 801 Pole Line Rd W, Suite 3810, Twin Falls, ID 83301-5811 |
Makay T Oakey | Certified Registered Nurse Anesthetist (crna) | St Luke's Clinic LLC | 801 Pole Line Rd W, Suite 3880, Twin Falls, ID 83301-5811 |
Kirk C Peterson | Pathology | Valley Pathology Associates LLC | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 |
John James D Angelo | Emergency Medicine | St Luke's Clinic, LLC | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 |
Jane Bennett-munro | Pathology | Valley Pathology Associates LLC | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 |
Michael E Gray | Pathology | Valley Pathology Associates LLC | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 |
Matthew J Larsen | Emergency Medicine | St Luke's Clinic, LLC | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
John L Etcheto | Physician Assistant | Southern Idaho Pain Institute P.C. | 176 Falls Ave, Twin Falls, ID 83301-2306 |
Daniel M Wettstein | Podiatry | 176 Falls Ave, Suite 200, Twin Falls, ID 83301-2306 | |
Clinton L Dille | Anesthesiology | Southern Idaho Pain Institute P.C. | 176 Falls Ave, Twin Falls, ID 83301-2306 |
Benjamin W Attebury | Physician Assistant | Southern Idaho Pain Institute P.C. | 176 Falls Ave, Twin Falls, ID 83301-2306 |
Johnny M Urrutia | Physician Assistant | Southern Idaho Pain Institute P.C. | 176 Falls Ave, Twin Falls, ID 83301-2306 |
Ronald E Mcgarrigle | Anesthesiology | St Luke's Clinic LLC | 450 Falls Ave, Suite 202, Twin Falls, ID 83301-2307 |
Tammy L Emerson | Qualified Speech Language Pathologist | 450 Falls Ave, Twin Falls, ID 83301-2307 | |
Todd G Hastings | Preventative Medicine | St Luke's Clinic LLC | 450 Falls Ave, Suite 202, Twin Falls, ID 83301-2307 |
Thomas W Dirocco | Hospitalist | St Luke's Clinic LLC | 450 Falls Ave, Suite 202, Twin Falls, ID 83301-2307 |
Mark J Edlund | Psychiatry | St Luke's Clinic LLC | 450 Falls Ave, Suite 202, Twin Falls, ID 83301-2307 |
Find all physicians in zip 83301 |
City | TWIN FALLS |
Zip Code | 83301 |
Specialty | PATHOLOGY |
City + Specialty | TWIN FALLS + PATHOLOGY |
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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.