JASON GRAY (NPI# 1275818155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275818155 |
| Entity Type | Individual |
| Full Name | JASON GRAY |
| Credential | PA-C, MPAS |
| Practice Address |
2230 N University Pkwy Ste 9b Provo UT 84604-1509 |
| Mailing Address |
1055 N 500 W Attn: Credentialing Provo UT 84604-3305 |
| Practice Telephone | 8013753175 |
| Practice Fax Number | 8013752818 |
| Mailing Telephone | 8013548225 |
| Mailing Fax Number | 8014180941 |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2020-04-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 10174240-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
4985 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
4985 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578197737 | Jason Gray | Behavioral Analyst | 49 Pier Ave Ste B, Hermosa Beach, CA 90254-3776 | 2020-02-26 |
| 1649253857 | Jason Charles Gray | Pharmacist | 815 E 6th St, Chickasaw Nation Health Clinic, Tishomingo, OK 73460-1800 | 2005-11-22 |
| 1811556160 | Jason Gordon Gray | Nurse Practitioner | 390 Limit St, Leavenworth, KS 66048-4525 | 2019-06-11 |
| 1689161861 | Jason Gray | Behavioral Analyst | 331 Montvale Ave, Woburn, MA 01801-4675 | 2018-04-13 |
| 1164874475 | Jason Gray | Counselor | 143 West St Ste V, New Milford, CT 06776-3525 | 2016-07-11 |
| 1255691671 | Jason Richard Gray | Orthopaedic Surgery | 4015 Lake Otis Pkwy Ste 201, Anchorage, AK 99508-5235 | 2012-05-18 |
| 1821360652 | Jason Dean Gray | Registered Nurse | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2012-02-09 |
| 1730387283 | Jason P. Gray | Optometrist | 1011 W 2nd St, Bloomington, IN 47403-2216 | 2007-07-06 |
| 1629270004 | Jason M Gray | Counselor | 38872 Proctor Blvd, Sandy, OR 97055-8035 | 2007-06-05 |
| 1174678395 | Jason De-leon Gray | Registered Nurse | 5599 Highway 311, Houma, LA 70360-2866 | 2007-01-25 |
| Street Address |
2230 N UNIVERSITY PKWY STE 9B |
| City | PROVO |
| State | UT |
| Zip Code | 84604-1509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821093048 | Donald Ray Gifford | Dentist | 2230 N University Pkwy, 8-b, Provo, UT 84604-1509 | 2005-06-15 |
| 1801333604 | Danae Harding | Marriage & Family Therapist | 2230 N University Pkwy, Suite 11d, Provo, UT 84604-1509 | 2017-01-31 |
| 1952855595 | Alyson Watkins | Counselor | 2230 N University Pkwy, Suite 11d, Provo, UT 84604-1509 | 2016-08-11 |
| 1922451962 | Monson Eye Associates, LLC | Ophthalmology | 2230 N University Pkwy, Ste 10a, Provo, UT 84604-1509 | 2016-07-14 |
| 1750791422 | Barton Charles Robbins | Social Worker | 2230 N University Pkwy, #7e, Provo, UT 84604-1509 | 2014-05-05 |
| 1831522945 | Mcdonald Clinical Services | Community/Behavioral Health | 2230 N University Pkwy, Building 7e, Suite 4, Provo, UT 84604-1509 | 2013-08-12 |
| 1760828834 | John Ryan Blankenship | Dentist | 2230 N University Pkwy, Provo, UT 84604-1509 | 2013-05-16 |
| 1295003051 | Aaron D Paxman | Physician Assistant | 2230 N University Pkwy, 9b, Provo, UT 84604-1509 | 2011-12-08 |
| 1538452826 | Glasgow Chiropractic and Rehabilitation P.l.l.c | Clinic/Center | 2230 N University Pkwy, #6b, Provo, UT 84604-1509 | 2011-05-19 |
| 1962795252 | Jonathan Snow Pllc | Chiropractor | 2230 N University Pkwy, Ste. 6b, Provo, UT 84604-1509 | 2011-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164049201 | Makenzie Bishop | Physician Assistant | 1077 S 810 E, Provo, UT 84606-6390 | 2020-07-05 |
| 1821643974 | Michael Riding | Physician Assistant | 781 N 1100 E, Provo, UT 84606-2054 | 2019-08-06 |
| 1871147306 | Heather Robson Dunford | Physician Assistant | 1055 N 500 W # 100, Provo, UT 84604-3305 | 2019-08-01 |
| 1730741414 | Griffith Jones | Physician Assistant | 94 S 700 E, Provo, UT 84606-4912 | 2019-07-02 |
| 1770091241 | Scott Schultz | Physician Assistant | 1055 N 500 W Ste 121, Building C, Provo, UT 86404 | 2018-01-17 |
| 1881106359 | Kathryn R. Lovell | Physician Assistant | 465 N 300 W Apt 22, Provo, UT 84601-2797 | 2017-10-24 |
| 1558766014 | Nancy Huber | Physician Assistant | Mountainland Community Health Center, 529 South State Street, Provo, UT 84606 | 2014-10-27 |
| 1386980597 | Preston Gray | Physician Assistant | 2230 North University Parkway #1a, Provo, UT 84604 | 2012-12-14 |
| 1093088445 | Laurie Melissa Centeno | Physician Assistant | 1157 N 300 W Ste 201, Provo, UT 84604-6124 | 2012-02-15 |
| 1982881181 | Darron Terry Smith | Physician Assistant | 191 N 900 E, Provo, UT 84606-3537 | 2008-01-30 |
| Find all providers in PROVO | ||||
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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.