MS. AUDREY MARIE GRAY (NPI# 1083158067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083158067 |
| Entity Type | Individual |
| Full Name | MS. AUDREY MARIE GRAY |
| Credential | PA-C |
| Practice Address |
300 S Ocotillo Ave Benson AZ 85602-6401 |
| Practice Telephone | 5205869111 |
| Mailing Telephone | 5205869111 |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2017-04-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 6540 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952946030 | Audrey Ann Gray | Nurse Practitioner | 120 Wedgewood Dr, Lincoln, NE 68510-2431 | 2019-11-12 |
| 1851747455 | Audrey Gray | Family Medicine | 9710 State Ave, Marysville, WA 98270-2232 | 2016-05-12 |
| 1487096236 | Audrey Lathan Gray | Pharmacist | 109 Bee St, Charleston, SC 29401-5703 | 2013-07-22 |
| Street Address |
300 S OCOTILLO AVE |
| City | BENSON |
| State | AZ |
| Zip Code | 85602-6401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639120520 | Michael R Gray | Internal Medicine | 300 S Ocotillo Ave, Benson, AZ 85602-6401 | 2006-05-15 |
| 1710484506 | Edward Reginald Onofrio | Physical Therapist | 300 S Ocotillo Ave, Benson, AZ 85602-6401 | 2018-04-09 |
| 1083735799 | Progressive Healthcare Group Inc | Family Medicine | 300 S Ocotillo Ave, Benson, AZ 85602-6401 | 2007-04-02 |
| 1275658064 | Craig R Ottenstein | Internal Medicine | 300 S Ocotillo Ave, Benson, AZ 85602-6401 | 2007-03-20 |
| 1295788487 | Michael A Lukenda | Family Medicine | 300 S Ocotillo Ave, Benson, AZ 85602-6401 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821582529 | Chiricahua Community Health Centers, Inc | Clinic/Center | 335 South Ocotillo Avenue, Benson, AZ 85602 | 2018-06-18 |
| 1437651288 | Chiricahua Community Health Centers Inc | Pharmacy | 335 S Ocotillo Avenue, Benson, AZ 85602 | 2018-03-07 |
| 1295191641 | Caring Connections for Special Needs, LLC. | Community/Behavioral Health | 870 W 4th St, Benson, AZ 85602 | 2016-01-14 |
| 1396158762 | Nicole Michelle Morris | Audiologist | 1989 S. Frontage Rd., Audiology Hearing and Balance Services, Sierra Vista, AZ 85602 | 2014-06-03 |
| 1467735217 | Josephine Anne Ellsworth | Counselor | 811 Maverick Lane, Benson, AZ 85602 | 2011-09-27 |
| 1730483819 | Charles Dean Kartchner | Anesthesiology | 1357 East Airport Road, Benson, AZ 85602 | 2011-01-04 |
| 1699077321 | Community Bridges, Inc | Clinic/Center | 470 S Ocotillo Ave # 2, Benson, AZ 85602 | 2010-12-01 |
| 1801106844 | Tomas G. Soto | Social Worker | 611 W. Union St., Benson, AZ 85602 | 2010-10-08 |
| 1982929451 | Marla Jeanne Trepanier | Pharmacist | 795 W Fourth Street, Benson, AZ 85602 | 2010-03-29 |
| 1396910832 | Susan May Boge | Occupational Therapist | 1764 N Ocotillo Rd, Benson, AZ 85602 | 2008-04-25 |
| Find all providers in zip 85602 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124520440 | Grayson Colette Massey | Physician Assistant | 1 Medical Dr, Benson, NC 27504-1177 | 2018-03-02 |
| 1588057145 | Jessica Pankaj Vyas | Physician Assistant | One Medical Drive, Benson, NC 27504 | 2015-03-06 |
| 1033469531 | Theresa M Micke | Physician Assistant | 3333 Nc Highway 242 N, Benson, NC 27504-7844 | 2012-09-12 |
| 1558641746 | Moboluwade Abe-lathan | Physician Assistant | 1 Medical Dr, Benson, NC 27504-1177 | 2011-08-19 |
| 1629201280 | Josh A. Balsly | Physician Assistant | 1 Medical Dr, Benson, NC 27504-1177 | 2009-08-31 |
| 1740437466 | Neema Chandel | Physician Assistant | 27 Annette Dr, Suite 109, Benson, NC 27504-8045 | 2008-08-25 |
| 1154516722 | Brenda Jean Justice | Physician Assistant | 125 E Main St, Benson, NC 27504-1506 | 2007-09-07 |
| 1871701847 | Jon Russell Clayton | Physician Assistant | 1 Medical Dr, Benson, NC 27504-1177 | 2007-05-21 |
| 1568683308 | Phyllis Jeanne Driver | Physician Assistant | 804 S Market St, Benson, NC 27504-2110 | 2007-05-01 |
| 1750400339 | Patrick Edward Malone | Physician Assistant | 1 Medical Dr, Benson, NC 27504-1177 | 2007-03-28 |
| Find all providers in BENSON | ||||
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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.