ISAAC BENJAMIN GRAY (NPI# 1164063699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164063699 |
| Entity Type | Individual |
| Full Name | ISAAC BENJAMIN GRAY |
| Practice Address |
4010 Blaine Road Shawnee OK 74804 |
| Practice Telephone | 4052146513 |
| Enumeration Date | 2019-10-06 |
| Last Update Date | 2019-10-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | OK | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740655075 | Isaac Gray | Marriage & Family Therapist | 8421 Auburn Blvd Ste 3, Citrus Heights, CA 95610-0391 | 2015-12-12 |
| Street Address |
4010 BLAINE ROAD |
| City | SHAWNEE |
| State | OK |
| Zip Code | 74804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750863775 | Dillon Gibson | Specialist/Technologist | Oklahoma Baptist University, 500 W. University, Shawnee, OK 74804 | 2018-09-06 |
| 1912368242 | Peggy Baker | Occupational Therapist | 7602 N. Kickapoo, Shawnee, OK 74804 | 2016-03-15 |
| 1861731093 | Shariff Mohammed El-assi | Behavioral Analyst | 45 Crown Point, Shawnee, OK 74804 | 2013-02-07 |
| 1902103112 | Action Physical Therapy & Rehabilitation, Pllc | Physical Therapist | 2506 N Harrison, Shawnee, OK 74804 | 2011-02-24 |
| 1639493315 | Oklahoma Em - 1 Medical Services,p.c. | Emergency Medicine | 1102 W.macarthur, Shawnee, OK 74804 | 2010-03-24 |
| 1790989473 | Eastern Oklahoma Radiation Associates, LLC | Radiology | 3700 N Kickapoo Ave Ste 108, Shawnee, OK 74804 | 2007-06-14 |
| 1821210444 | Mickey Sehorn D.d.s., P.C. | Dentist | 1601 Airport Drive, Shawnee, OK 74804 | 2007-05-03 |
| 1760525711 | Leanna Rae Olsen | Registered Nurse | 1500 N. Kickapoo, Suite #4, Shawnee, OK 74804 | 2007-02-15 |
| 1467517920 | Mahmoud Abdel-fattah Khalifa | Pathology | Unity Health Center, 1102 West Macarthur, Shawnee, OK 74804 | 2006-12-26 |
| 1164586699 | Michael Brian Watters | Optometrist | 2020 N Harrison, Shawnee, OK 74804 | 2006-12-20 |
| Find all providers in zip 74804 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700404415 | Connor Blaine Rutherford | Student in an Organized Health Care Education/Training Program | 1808 Lantana Ct, Shawnee, OK 74804-3209 | 2020-07-09 |
| 1730714155 | Sheena Jo Coleman | Student in an Organized Health Care Education/Training Program | 6018 Marion St, Shawnee, KS 66218-9254 | 2020-03-05 |
| 1215568589 | Bhupinderjit Kaur Ballagan | Student in an Organized Health Care Education/Training Program | 5112 Meadow Height Dr, Shawnee, KS 66226-2291 | 2020-01-27 |
| 1235663444 | Nida Hameedi | Student in an Organized Health Care Education/Training Program | 9423 Sunray Dr, Shawnee, KS 66227-2822 | 2017-04-13 |
| 1467804815 | Kaitlyn Anne Heffernon | Student in an Organized Health Care Education/Training Program | 5114 Aminda St, Shawnee, KS 66226-2682 | 2016-07-11 |
| 1942674320 | Carlos Monteagudo | Student in an Organized Health Care Education/Training Program | 21322 W 55th Ter, Shawnee, KS 66218-9375 | 2015-11-22 |
| 1073159281 | Renee Lynn Garuccio | Student in an Organized Health Care Education/Training Program | 101 N Union Ave, Shawnee, OK 74801-7067 | 2019-11-22 |
| 1376048389 | Heather Elise Timm | Student in an Organized Health Care Education/Training Program | 101 N Union Ave, Shawnee, OK 74801-7067 | 2018-03-30 |
| 1619403516 | Darian English | Student in an Organized Health Care Education/Training Program | 101 N Union Ave, Shawnee, OK 74801-7067 | 2017-05-11 |
| 1992151245 | Margaret Mary Houting | Student in an Organized Health Care Education/Training Program | 21620 Midland Dr, Shawnee, KS 66218-9064 | 2016-05-05 |
| Find all providers in SHAWNEE | ||||
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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.