SPENCER GRAY (NPI# 1164031290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164031290 |
| Entity Type | Individual |
| Full Name | SPENCER GRAY |
| Practice Address |
107 N Fayette Ave Mount Hope WV 25880-1202 |
| Practice Telephone | 3042523394 |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2020-07-24 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457728594 | Spencer Gray | Pharmacist | 700 N Main St, Marion, SC 29571-2518 | 2015-08-24 |
| Street Address |
107 N FAYETTE AVE |
| City | MOUNT HOPE |
| State | WV |
| Zip Code | 25880-1202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733223 | Carrie Lois Jaap | Technician | 573 Prosperity Rd., Mt. Hope, WV 25880 | 2020-09-04 |
| 1740893080 | Kristi Lynn Clay | Technician | 116 Bennett Hollow Rd, Mount Hope, WV 25880 | 2020-08-26 |
| 1053922948 | Felishia Nichole Adkins | Technician | 3864 Packs Branch Rd, Mount Hope, WV 25880 | 2020-08-13 |
| 1407467756 | Shirley Smith | Technician | 3827 Legends Hwy, Mount Hope, WV 25880 | 2020-08-11 |
| 1093342982 | Bradley Prosperity Vol Fire Dept | Ambulance | 5950 Robert C Byrd Dr, Bradly, WV 25880 | 2020-03-23 |
| 1629520598 | New River Health Association, Inc | Clinic/Center | 269 Martin Lane, Mount Hope, WV 25880 | 2016-10-26 |
| 1871552893 | Pioneer Medical Services Inc | Durable Medical Equipment & Medical Supplies | 304 Dearing Dr, Mount Hope, WV 25880 | 2006-03-20 |
| 1598171316 | Kara Vosler | Dentist | 729 Main Street, Mount Hope, WV 25880 | 2014-07-02 |
| 1942556527 | Main Street Pharmacy | Pharmacy | 301 Main St, Mount Hope, WV 25880-1105 | 2012-08-01 |
| 1972893667 | Khaja Mohiuddin Mohammed | Pharmacist | 301 Main St, Mount Hope, WV 25880-1105 | 2011-04-14 |
| Find all providers in zip 25880 | ||||
| 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 |
|---|---|---|---|---|
| 1386252633 | Chrystal Marie Hannah | Case Manager/Care Coordinator | 155 Deck St, Mount Hope, WV 25880-9239 | 2020-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871194647 | Carol Garten | Case Manager/Care Coordinator | 248 Red Oaks Shopping Ctr, Ronceverte, WV 24970-1349 | 2020-11-06 |
| 1659972552 | Khadijah Abdul-wahid | Case Manager/Care Coordinator | 910 Princeton Ave Apt 201, Bluefield, WV 24701-3100 | 2020-11-06 |
| 1942801014 | Ashley Bragg | Case Manager/Care Coordinator | 259 Maplewood Ln, Beaver, WV 25813-9341 | 2020-11-05 |
| 1538760566 | John David Barnes | Case Manager/Care Coordinator | 229 W Main St Ste 200, Clarksburg, WV 26301-2966 | 2020-11-05 |
| 1629679261 | Steven Thomas | Case Manager/Care Coordinator | 142 White Rose Dr, Daniels, WV 25832-9135 | 2020-11-02 |
| 1255931945 | Ami Moffo | Case Manager/Care Coordinator | 12 Carolina Ave, Beech Bottom, WV 26030-1006 | 2020-10-30 |
| 1023618576 | Julianna Christine Hayden | Case Manager/Care Coordinator | 3501 Winchester Avenue, Martinsburg, WV 25405-3187 | 2020-10-26 |
| 1063011781 | Judy E Grose | Case Manager/Care Coordinator | 3873 Maple Acres Rd, Bluefield, WV 24701-5055 | 2020-10-23 |
| 1326647207 | Carrie Stranko | Case Manager/Care Coordinator | 444 White Ave, Morgantown, WV 26501-6663 | 2020-10-21 |
| 1629677695 | Taylor Martin | Case Manager/Care Coordinator | 86 E Main St Ste B, Buckhannon, WV 26201-2864 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT HOPE |
| Zip Code | 25880 |
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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.