LYNN GRAY (NPI# 1124065867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124065867 |
| Entity Type | Individual |
| Full Name | LYNN GRAY |
| Credential | M.D. |
| Practice Address |
800 M 139 Benton Harbor MI 49022-3881 |
| Mailing Address |
2000 Green Rd Suite 300 Ann Arbor MI 48105-1598 |
| Practice Telephone | 2694277937 |
| Practice Fax Number | 2694275180 |
| Mailing Telephone | 7349953764 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2019-04-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 036675 | MI | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 4301036675 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BC/BS | LG036675 | 01 |
| MI | 104725454 | 05 | |
| MI | 104725481 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1234 Napier Ave, Saint Joseph, MI 490852112 | 2699838300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467775197 | Lynn Gray | Registered Nurse | 516 Nizhoni Blvd, Gallup, NM 87301-5748 | 2010-03-09 |
| Street Address |
800 M 139 |
| City | BENTON HARBOR |
| State | MI |
| Zip Code | 49022-3881 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841221348 | Mark E Obrien | Internal Medicine | 800 M 139, Benton Harbor, MI 49022-3881 | 2006-07-05 |
| 1871142984 | Angela Bowman-davis | Social Worker | 800 M 139, Benton Harbor, MI 49022-3881 | 2019-09-11 |
| 1326695552 | Tringo Dessie | Nurse Practitioner | 800 M 139, Benton Harbor, MI 49022-3881 | 2019-08-22 |
| 1104472299 | Brianna Christine Medlin | Nurse Practitioner | 800 M 139, Benton Harbor, MI 49022-3881 | 2019-08-14 |
| 1437718301 | Jacob Daniel Carlisle | Dentist | 800 M 139, Benton Harbor, MI 49022-3881 | 2019-06-13 |
| 1518433291 | Melissa Mciver | Nurse Practitioner | 800 M 139, Benton Harbor, MI 49022-3881 | 2018-10-19 |
| 1851876205 | Luis Carral | Dentist | 800 M 139, Benton Harbor, MI 49022-3881 | 2018-10-02 |
| 1184102097 | Jenny Lynn Parker | Nurse Practitioner | 800 M 139, Benton Harbor, MI 49022-3881 | 2018-08-02 |
| 1639665839 | Cesar Carrizales | Occupational Therapist | 800 M 139, Benton Harbor, MI 49022-3881 | 2018-07-11 |
| 1699261305 | Kamani Meriwether | Dentist | 800 M 139, Benton Harbor, MI 49022-3881 | 2018-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356852438 | Heather A Harrison | Pharmacist | 1485 S M139, Benton Harbor, MI 49022 | 2017-10-17 |
| 1013426220 | Valerie Fulton | Chore Provider | 2457 Plaza Dr, Benton Harbor, MI 49022 | 2017-09-20 |
| 1124544101 | Felecia Howell | Social Worker | 1485 M139, Benton Harbor, MI 49022 | 2017-08-21 |
| 1548797848 | Lauren Elise Midkiff | Social Worker | 1485 M-139, Benton Harbor, MI 49022 | 2017-05-17 |
| 1780130419 | Jennifer Hoover | Pharmacist | 1701 M-139, Benton Harbor, MI 49022 | 2016-09-01 |
| 1841646395 | Josefina Pena-ogando | Counselor | 185 E Main St Ste 402, Benton Harbor, MI 49022 | 2016-05-13 |
| 1295116648 | Claudia Olivia Pozo | Counselor | 1458 M 139, Benton Harbor, MI 49022 | 2015-06-11 |
| 1063809515 | Patrick K Hanlin | Counselor | 800 M- 139, Benton Harbor, MI 49022 | 2015-04-22 |
| 1912280835 | Kimberly Anne Hardt | Pharmacist | 875 E.napier, Benton Harbor, MI 49022 | 2011-09-27 |
| 1407150279 | Ldbh, LLC | Clinic/Center | 338 8th Street, Benton Harbor, MI 49022 | 2011-01-07 |
| Find all providers in zip 49022 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922072271 | Midtown Family Practice, Plc | Family Medicine | 129 E Main St, Benton Harbor, MI 49022-4409 | 2006-02-14 |
| 1235303181 | Midtown Family Practice | Family Medicine | 129 E Main St, Benton Harbor, MI 49022-4409 | 2008-04-22 |
| 1396892634 | John Maccart | Family Medicine | 800 M-139, Benton Harbor, MI 49022-4843 | 2007-01-05 |
| 1386791622 | Mary Margaret Wolf | Family Medicine | 800 M-139, Benton Harbor, MI 49022-4843 | 2007-01-05 |
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|---|---|---|---|---|
| 1578163465 | Salta of Auburn Hills | Family Medicine | 2191 S South Blvd, Suite 101c, Pontiac, MI 48326-3481 | 2020-10-29 |
| 1396342606 | Kiwi Virtual Health Care Pllc | Family Medicine | 40618 Blythefield Ln, Canton, MI 48188-2251 | 2020-10-08 |
| 1447867619 | Bashar Yalldo Md Plc | Family Medicine | 14700 Farmington Rd Ste 105, Livonia, MI 48154-5434 | 2020-09-30 |
| 1245847342 | Nuha Bakkal | Family Medicine | 1422 Mill Pond Dr, Waterford, MI 48327-3088 | 2020-09-23 |
| 1710592050 | Chippewa County War Memorial Hospital Inc | Family Medicine | 391 E M 134, Cedarville, MI 49719-9451 | 2020-09-14 |
| 1184238966 | Med Clubs | Family Medicine | 2575 Hummingbird Dr, Holt, MI 48842-9430 | 2020-08-31 |
| 1457961054 | Danna Zevy | Family Medicine | 107 S Washington Ave Apt 401, Saginaw, MI 48607-1258 | 2020-08-07 |
| 1194342808 | Zachary Hillman Do Pllc | Family Medicine | 1794 N Lapeer Rd Ste A, Lapeer, MI 48446-7664 | 2020-06-29 |
| 1336765445 | Spectrum Health United | Family Medicine | 7188 Avenue B, Vestaburg, MI 48891-9502 | 2020-06-24 |
| 1477179711 | Spectrum Health United | Family Medicine | 1324 N County Line Rd, Blanchard, MI 49310-9303 | 2020-06-23 |
| Find all providers with the same taxonomy | ||||
| City | BENTON HARBOR |
| Zip Code | 49022 |
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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.