MR. GREGORY ROBERT OBRAY (NPI# 1083770192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083770192 |
Entity Type | Individual |
Full Name | MR. GREGORY ROBERT OBRAY |
Credential | PA-C |
Practice Address |
320 Warner Dr Lewiston Orthopaedics Lewiston ID 83501 |
Mailing Address |
3313 Sunrise Terrace Ln Lewiston ID 83501-7007 |
Practice Telephone | 2087433523 |
Enumeration Date | 2006-12-31 |
Last Update Date | 2016-08-04 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
00034506 | WA | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
M7482 | ID | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 8204851 | 05 | |
ID | 805208800 | 05 |
Street Address |
320 WARNER DR LEWISTON ORTHOPAEDICS |
City | LEWISTON |
State | ID |
Zip Code | 83501 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588659866 | Steven Randolph Boyea | Orthopaedic Surgery | 320 Warner Dr, Lewiston, ID 83501-4441 | 2005-09-13 |
1912517350 | Caleb H Netting | Orthopaedic Surgery | 320 Warner Dr, Lewiston, ID 83501-4441 | 2020-07-31 |
1851871172 | Russell L Evans | Radiology | 320 Warner Dr, Lewiston, ID 83501-4441 | 2018-08-16 |
1306343728 | Alexis Zander | Physician Assistant | 320 Warner Dr, Lewiston, ID 83501-4441 | 2018-04-11 |
1023545373 | Catalyst Medical Group, Pllc | Durable Medical Equipment & Medical Supplies | 320 Warner Dr, Lewiston, ID 83501 | 2017-05-17 |
1750839023 | Rychael Morton | Physician Assistant | 320 Warner Dr, Lewiston, ID 83501-4441 | 2016-09-15 |
1679941553 | Kaden J Thueson | Physician Assistant | 320 Warner Dr, Lewiston, ID 83501-4441 | 2015-09-09 |
1265674071 | Dewayne Lynn Weaver | Orthopaedic Surgery | 320 Warner Dr, Lewiston, ID 83501-4441 | 2009-03-26 |
1215095252 | Lewiston Orthopaedic Associates Pa | Clinic/Center | 320 Warner Dr, Lewiston, ID 83501-4441 | 2006-12-04 |
1497837447 | Bret A Paulson | Physician Assistant | 320 Warner Dr, Lewiston, ID 83501-4441 | 2006-10-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679193759 | Jacqueline M Aldrich | Behavior Technician | 3407 12th Street C, 3407 12th Street C, Lewiston, ID 83501 | 2020-04-20 |
1295228054 | Provident Foundation - Wedgewood Terrace LLC | Alzheimer Center (Dementia Center) | 2114 Vineyard Avenue, Lewiston, ID 83501 | 2018-06-07 |
1164945325 | Xiaofei Liu | Massage Therapist | 234 Thain Rd, Lewiston, ID 83501 | 2017-07-19 |
1467909879 | Sharon Thulon | Registered Nurse | 1118 F Street, Lewiston, ID 83501 | 2016-09-01 |
1821459496 | Gem State Endoscopy | Clinic/Center | 3709 14th Street, Lewiston, ID 83501 | 2016-03-10 |
1508264995 | Gary L. Grogan | Psychologist | 633 Main Street, B#1, Lewiston, ID 83501 | 2014-12-17 |
1003189366 | John Joseph Johnson | Dentist | 3510 12th Street, Suite #600, Lewiston, ID 83501 | 2012-02-17 |
1306134077 | Rowena Kathryn Jackson | Counselor | 531 Bryden Avenue, Lewiston, ID 83501 | 2011-07-15 |
1912290388 | Staci Leanne Truby | Massage Therapist | 717 'd' Street, Lewiston, ID 83501 | 2011-05-18 |
1093040685 | Sharie Ann Uhlorn | Registered Nurse | 1837 Alder Court, Lewiston, ID 83501 | 2009-10-15 |
Find all providers in zip 83501 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548769524 | Kevin Ryan | Physician Assistant | 12 High Street Suite 102, Lewiston, ME 04240 | 2018-02-06 |
1134773294 | Alyssa Mae Gunville | Physician Assistant | 12 High St Ste 401, Lewiston, ME 04240-7690 | 2019-07-27 |
1316590946 | Jonathan Mcdonough | Physician Assistant | 60 High St, Cmhvi Y1, Lewiston, ME 04240-7616 | 2019-07-23 |
1003380957 | Hannah Stonebreaker | Physician Assistant | 12 High St Ste 401, Lewiston, ME 04240-7690 | 2019-01-14 |
1750839023 | Rychael Morton | Physician Assistant | 320 Warner Dr, Lewiston, ID 83501-4441 | 2016-09-15 |
1679941553 | Kaden J Thueson | Physician Assistant | 320 Warner Dr, Lewiston, ID 83501-4441 | 2015-09-09 |
1396112918 | Kate Grygiel | Physician Assistant | 12 High St, Ste 401, Lewiston, ME 04240-7676 | 2015-08-31 |
1881091387 | Tiffany Eisenhauer | Physician Assistant | 60 High St, Lewiston, ME 04240-7616 | 2014-11-26 |
1083028674 | Gillian M Croteau | Physician Assistant | 12 High St, Suite 102, Lewiston, ME 04240-7676 | 2014-06-11 |
1245516723 | Kevin Taylor Quigley | Physician Assistant | 60 High St, Lewiston, ME 04240-7616 | 2011-10-27 |
Find all providers in LEWISTON |
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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.