TIMOTHY J GRAY (NPI# 1215984752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215984752 |
| Entity Type | Individual |
| Full Name | TIMOTHY J GRAY |
| Credential | M.D. |
| Practice Address |
1303 W Evergreen Ave Effingham IL 62401-1619 |
| Mailing Address |
1005 Health Center Dr Ste 201 Mattoon IL 61938-4653 |
| Practice Telephone | 2173423400 |
| Practice Fax Number | 2173423477 |
| Mailing Telephone | 2172386055 |
| Mailing Fax Number | 2172582216 |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2020-03-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 036082647 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | HEALTHLINK | 227129 | 01 |
| IL | 036082647 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1215 W Main St, Shelbyville, IL 625651252 | 2177744305 | 2177744306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124532411 | Timothy E Gray | Behavioral Analyst | 2410 Minnick Rd, Forest Hill, MD 21050-1614 | 2017-11-22 |
| 1023087962 | Timothy K Gray | Internal Medicine | 2831 Tricom Street, North Charleston, SC 29406-9193 | 2006-03-14 |
| 1851377410 | Timothy P Gray | Physical Therapist | 621 E Alexander St, Plant City, FL 33563-7126 | 2005-12-15 |
| 1588662118 | Timothy Ross Gray | Dentist | 13106 Se 240th St, Suite 102, Kent, WA 98031-9210 | 2005-07-08 |
| 1003810441 | Timothy J. Gray Sr. | Family Medicine | 1909 Mountain View Ln, Suite 200, Forest Grove, OR 97116-2893 | 2005-06-13 |
| 1972565877 | Timothy Patrick Gray | Orthopaedic Surgery | 3838 Sherman Dr, Suite 2, Riverside, CA 92503-4001 | 2006-04-05 |
| 1699770057 | Timothy J. Gray II | Family Medicine | 1909 Mountain View Ln, Suite 200, Forest Grove, OR 97116-2893 | 2005-06-14 |
| Street Address |
1303 W EVERGREEN AVE |
| City | EFFINGHAM |
| State | IL |
| Zip Code | 62401-1619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245220243 | Thomas L. Williams | Physician Assistant | 1303 W Evergreen Ave, Effingham, IL 62401-1638 | 2005-10-21 |
| 1851891170 | Luke Ray Zumbahlen | Nurse Practitioner | 1303 W Evergreen Ave, Effingham, IL 62401-1619 | 2018-02-13 |
| 1376051292 | Kayla R Deters | Nurse Practitioner | 1303 W Evergreen Ave, Effingham, IL 62401-1638 | 2018-01-12 |
| 1932648318 | Jennifer Jean Hess | Nurse Practitioner | 1303 W Evergreen Ave, Effingham, IL 62401-1638 | 2017-02-17 |
| 1689074296 | Diana Woltman | Registered Nurse | 1303 W Evergreen Ave, Effingham, IL 62401-1638 | 2014-09-02 |
| 1942554647 | Andrea G Furlong | Physician Assistant | 1303 W Evergreen Ave, Suite 101, Effingham, IL 62401-1619 | 2012-11-01 |
| 1134493042 | Andrew Vannatta | Orthotist | 1303 W Evergreen Ave, Suite 101, Effingham, IL 62401-1619 | 2012-02-24 |
| 1003189333 | Kristyn Margaret Rosenkoetter | Physical Therapist | 1303 W Evergreen Ave, Effingham, IL 62401-1619 | 2012-02-16 |
| 1609152735 | Brock Wayne Athey | Physical Therapist | 1303 W Evergreen Ave, Biomax Ste 102, Effingham, IL 62401 | 2011-11-03 |
| 1548558950 | Nickolas A Williams | Physician Assistant | 1303 W Evergreen Ave, Effingham, IL 62401-1638 | 2011-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568021269 | Rhodes To Health, LLC | Chiropractor | 200 E. Fayette Ave, Effingham, IL 62401 | 2019-06-07 |
| 1467951699 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 903 N Maple St, Effingham, IL 62401 | 2018-02-02 |
| 1033632187 | Diel Counseling Inc. | Counselor | 444 S. Willow #7, Effingham, IL 62401 | 2017-07-20 |
| 1770930968 | Community Support Systems | Intermediate Care Facility, Mentally Retarded | 2311 Veterans Drive, Effingham, IL 62401 | 2016-05-18 |
| 1194107102 | Radhika Annam | Internal Medicine | 500 N. Maple St., Joslin Diabetes Center Affiliate At Hshs Medical Group, Effingham, IL 62401 | 2015-06-25 |
| 1912334558 | Ruben Boyajian, Md | Surgery | 904 Medical Park Drive, Suite 2, Effingham, IL 62401 | 2013-09-27 |
| 1427483502 | Daniel E Czajkowski | Physical Therapist | 2611 S Banker St, Effingham, Il, Effingham, IL 62401 | 2013-09-09 |
| 1093140501 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 1200 Network Centre Drive, Suite #2, Effingham, IL 62401 | 2013-09-04 |
| 1689926487 | Wellness Loft Inc. | Counselor | 408 South 4th St., Effingham, IL 62401 | 2012-10-04 |
| 1598011470 | Patricia R. Diel | Social Worker | 444 S. Willow, Suite 7, Effingham, IL 62401 | 2012-07-30 |
| Find all providers in zip 62401 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952699894 | Jonathan Workman | Orthopaedic Surgery | 1303 W Evergreen Ave Ste 101, Effingham, IL 62401 | 2011-07-13 |
| 1700886223 | Lawrence Leventhal Md PC | Orthopaedic Surgery | 801 W Temple Ave, Effingham, IL 62401-2168 | 2005-07-27 |
| 1912903261 | Effingham Orthopedic Clinic Sc | Orthopaedic Surgery | 802 E Jefferson Ave, Effingham, IL 62401-3409 | 2005-06-22 |
| 1437152451 | John B Powell | Orthopaedic Surgery | 900 W Temple Ave Ste 2500, Effingham, IL 62401-2121 | 2005-05-23 |
| 1144531666 | Joseph M Ajdinovich | Orthopaedic Surgery | 1303 W Evergreen Ave, Effingham, IL 62401-1638 | 2010-06-30 |
| 1790941581 | Lisa Marie Sasso | Orthopaedic Surgery | 901 Medical Park Dr, Suite 100, Effingham, IL 62401-2191 | 2008-08-01 |
| 1467618561 | Didi Omiyi | Orthopaedic Surgery | 1303 W Evergreen Ave, Effingham, IL 62401-1638 | 2008-07-29 |
| 1023021821 | Lawrence Leventhal | Orthopaedic Surgery | 801 W Temple Ave, Effingham, IL 62401-2168 | 2006-08-14 |
| 1083661995 | Frank S Lee | Orthopaedic Surgery | 1303 W Evergreen Ave, Effingham, IL 62401-1638 | 2006-05-27 |
| 1629021571 | Peter M. Bonutti | Orthopaedic Surgery | 1303 W Evergreen Ave, Effingham, IL 62401-1638 | 2006-05-19 |
| Find all providers in EFFINGHAM | ||||
Please comment or provide details below to improve the information on TIMOTHY J GRAY.
| 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.