MARK GRAY (NPI# 1043791262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043791262 |
| Entity Type | Individual |
| Full Name | MARK GRAY |
| Practice Address |
4601 E Admiral Doyle Dr New Iberia LA 70560 |
| Mailing Address |
4601 E Admiral Doyle Dr New Iberia LA 70560-8296 |
| Practice Telephone | 3373213728 |
| Enumeration Date | 2018-08-25 |
| Last Update Date | 2019-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 75 Main St, Franklin, LA 705387026 | 3379076389 | |
| 177 Duperier Ave, New Iberia, LA 705632415 | 3373216691 | 3372565270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306088752 | Mark A. Gray | Dentist | 2257 Main St E, Snellville, GA 30078-3499 | 2009-04-01 |
| 1669656351 | Mark E. Gray | Chiropractor | 595 Park Ave Ste 101, San Jose, CA 95110-2641 | 2007-12-18 |
| 1144229410 | Mark Gray | Dentist | 1127 Eldridge Pkwy, Ste 1040, Houston, TX 77077-1773 | 2005-07-19 |
| 1427674514 | Mark Gray | Day Training/Habilitation Specialist | 804 Industrial Park Rd, Maxwelton, WV 24957-8066 | 2020-06-24 |
| 1730653932 | Mark Wayne Gray | Peer Specialist | 306 Airport Dr, Moncks Corner, SC 29461-2629 | 2019-01-22 |
| 1194174904 | Mark Gregory Gray II | Dentist | 200 Orchard Ave, Bridgeport, WV 26330-1737 | 2016-06-13 |
| 1063723476 | Mark A Gray | Chiropractor | 1025 Calimesa Blvd, Suite #1, Calimesa, CA 92320 | 2010-06-30 |
| 1346329398 | Mark Robert Gray | Counselor | 634 E 8th St, Port Angeles, WA 98362-6224 | 2006-11-02 |
| 1508827114 | Mark Gray | Obstetrics & Gynecology | 50 W 77th St, New York, NY 10024-5116 | 2006-03-31 |
| 1790760338 | Mark W Gray | Family Medicine | 2024 S 6th St, Brainerd, MN 56401-4529 | 2005-12-07 |
| Street Address |
4601 E ADMIRAL DOYLE DR |
| City | NEW IBERIA |
| State | LA |
| Zip Code | 70560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316578289 | Kelly Koch | Speech-Language Pathologist | 3919 Highway 14, New Iberia, LA 70560 | 2020-01-30 |
| 1215418512 | Jada Renee Delahoussaye | Case Manager/Care Coordinator | 324 Copper Rd, New Iberia, LA 70560 | 2018-08-24 |
| 1639665334 | Sarah D. Lalande | Audiologist | 2308 E Main St Ste B, New Iberia, LA 70560 | 2018-07-05 |
| 1447766142 | Kirston Gardner | Counselor | 902 Jefferson Ter Ste D, New Iberia, LA 70560 | 2017-12-18 |
| 1902334048 | Keithlyn James | Counselor | 902 Jefferson Ter Ste E, New Iberia, LA 70560 | 2017-06-02 |
| 1619424926 | Dialysis Clinic Inc | Clinic/Center | 2708 E. Main St, New Iberia, LA 70560 | 2016-09-02 |
| 1720433477 | Theresa Armstead | Counselor | 1614 East Main St., Ste D, 36o Mental Health, LLC, New Iberia, LA 70560 | 2016-05-02 |
| 1033564711 | Johonnah Metzel | Case Manager/Care Coordinator | 209 W Main St Ste 200, New Iberia, LA 70560 | 2016-04-29 |
| 1508241969 | Sworoop Thomas John | Internal Medicine | 2315 East Main Street, Medical Staff Office, New Iberia, LA 70560 | 2015-07-28 |
| 1598143612 | Stephanie Vines, Ncc, Lpc, LLC | Community/Behavioral Health | 152 W. Main St., New Iberia, LA 70560 | 2015-05-08 |
| Find all providers in zip 70560 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841846656 | Christi Lynette Armstrong | Case Manager/Care Coordinator | 610 Elizabeth St, New Iberia, LA 70560-4276 | 2019-08-16 |
| 1740762111 | Vanessa Nichelle Spencer | Case Manager/Care Coordinator | 2519 Jefferson Island Rd, New Iberia, LA 70560-9457 | 2018-09-03 |
| 1215418512 | Jada Renee Delahoussaye | Case Manager/Care Coordinator | 324 Copper Rd, New Iberia, LA 70560 | 2018-08-24 |
| 1942791975 | Djuan Hypolite | Case Manager/Care Coordinator | 302 Hacker St, New Iberia, LA 70560-4508 | 2018-05-25 |
| 1316496599 | Shantell Marie Francis | Case Manager/Care Coordinator | 4507 E Admiral Doyle Dr, New Iberia, LA 70560-8297 | 2016-09-28 |
| 1033564711 | Johonnah Metzel | Case Manager/Care Coordinator | 209 W Main St Ste 200, New Iberia, LA 70560 | 2016-04-29 |
| 1275996563 | Brandi Celestine | Case Manager/Care Coordinator | 825 Center St Ste A, New Iberia, LA 70560-5500 | 2016-04-04 |
| 1407463797 | Renee Eppling | Case Manager/Care Coordinator | 449 E Saint Peter St, New Iberia, LA 70560-3752 | 2020-09-30 |
| 1790392777 | April Guillory | Case Manager/Care Coordinator | 449 E Saint Peter St, New Iberia, LA 70560-3752 | 2020-09-24 |
| 1083222889 | Kristen Brinton | Case Manager/Care Coordinator | 449 E Saint Peter St, New Iberia, LA 70560-3752 | 2020-07-17 |
| Find all providers in NEW IBERIA | ||||
| City | NEW IBERIA |
| Zip Code | 70560 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.