MICHAEL J. GRAY (NPI# 1316033871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316033871 |
| Entity Type | Individual |
| Full Name | MICHAEL J. GRAY |
| Credential | MD |
| Practice Address |
100 South St Southbridge MA 01550-4051 |
| Practice Telephone | 5087659771 |
| Practice Fax Number | 5087642448 |
| Mailing Telephone | 5087659771 |
| Mailing Fax Number | 5087642448 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-05-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 246753 | MA | Allopathic & Osteopathic Physicians |
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1553 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110104113A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 55 Lake Ave N, Worcester, MA 016550002 | 5084211400 | 5084211490 |
| 119 Belmont St, Worcester, MA 016052903 | 5084211400 | 5084211490 |
| 157 Union St, Marlborough, MA 017521228 | 5084211400 | 5084211490 |
| 510 N Main St, Leominster, MA 014531814 | 5084211400 | 5084211490 |
| 201 Highland St, Clinton, MA 015101037 | 5084211400 | 5084211490 |
| 60 Hospital Rd, Leominster, MA 014532205 | 5084211400 | 5084211490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891285300 | Michael Anthony Gray | Case Manager/Care Coordinator | 2218 Nw 36th St, Lawton, OK 73505 | 2018-05-10 |
| 1003321423 | Michael Andrew Gray | Pharmacist | 202 S Mockingbird Ln, Keene, TX 76059-1930 | 2017-12-07 |
| 1265833966 | Michael Gray | Social Worker | 1431 Park Pl Apt 3, Brooklyn, NY 11213-3068 | 2014-09-12 |
| 1265799944 | Michael Ryan Gray | Counselor | 14515 A St S Apt 103d, Tacoma, WA 98444-6943 | 2012-04-18 |
| 1144494287 | Michael Gray | Military Health Care Provider | Psc 564 373, Fpo, AP 96387 | 2008-04-19 |
| 1275734964 | Michael W Gray | Surgery | 6635 Daly Rd, West Bloomfield, MI 48322-3410 | 2007-05-30 |
| 1134277247 | Michael Robert Gray | Psychiatry & Neurology | 2 W 46th St, Suite 506, New York, NY 10036-4811 | 2007-01-08 |
| 1891865382 | Michael Patrick Gray | Psychologist | 6122 Ridge Ave, Philadelphia, PA 19128-1603 | 2006-11-09 |
| 1477634350 | Michael T Gray | Specialist | 125 Sunrise Hwy, West Islip, NY 11795-2023 | 2006-10-18 |
| 1639120520 | Michael R Gray | Internal Medicine | 300 S Ocotillo Ave, Benson, AZ 85602-6401 | 2006-05-15 |
| Street Address |
100 SOUTH ST |
| City | SOUTHBRIDGE |
| State | MA |
| Zip Code | 01550-4051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720089063 | John Michael Tumolo | Internal Medicine | 100 South St, Suite 104, Southbridge, MA 01550-4051 | 2005-08-09 |
| 1093316473 | Julianne Brechtl | Counselor | 100 South St, Southbridge, MA 01550-4051 | 2020-11-03 |
| 1164029971 | Teesha Marie Carrasquillo | Social Worker | 100 South St, Southbridge, MA 01550-4051 | 2020-10-05 |
| 1851927347 | Brittany Moreau | Dietitian, Registered | 100 South St, Southbridge, MA 01550-4051 | 2020-03-17 |
| 1548892326 | Kally Ann Petka | Nurse Practitioner | 100 South St, Southbridge, MA 01550-4051 | 2020-02-10 |
| 1497309694 | Laurette E Mcdonald | Registered Nurse | 100 South St, Southbridge, MA 01550-4051 | 2019-07-26 |
| 1033775697 | Cydney Weiner | Physician Assistant | 100 South St, Southbridge, MA 01550-4051 | 2019-05-18 |
| 1245896281 | Heather Lynn Bingham | Counselor | 100 South St, Southbridge, MA 01550-4051 | 2019-05-15 |
| 1982165056 | Imaging Consultants Inc | Clinic/Center | 100 South St, Southbridge, MA 01550-4051 | 2019-03-29 |
| 1609345099 | Alyssa Rose Mitchell | Physician Assistant | 100 South St, Southbridge, MA 01550-4051 | 2018-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726765 | Nathanael Lopez | Counselor | 328 Main St Apt #1, Southbridge, MA 01550 | 2020-09-27 |
| 1356969497 | Sarah Anne Mcnulty | Registered Nurse | Harrington Hospital, 100 South Street, Southbridge, MA 01550 | 2020-07-06 |
| 1699316406 | Adrienne Ellen Soucy | Developmental Therapist | Kennedy Donovan Center, 486 Worcester St., Southbridge, MA 01550 | 2019-10-02 |
| 1184101610 | Charles D Fraser | Nurse Practitioner | 657 Worcester St Apt 204, Southbridge, MA 01550 | 2018-07-26 |
| 1689160954 | Christine Ann Surrette | Nurse Practitioner | 11 Sandersdale Rd, Southbridge, MA 01550 | 2018-07-10 |
| 1528560075 | Danielle Torre Aspinwall | Physician Assistant | 100 South Street Suite 208, Southbridge, MA 01550 | 2018-03-01 |
| 1215455829 | New Beginnings of Southbridge | Marriage & Family Therapist | 146 Ashland Ave Suite B, Southbridge, MA 01550 | 2017-09-03 |
| 1902323835 | Shannon Paisley | Counselor | 328 Main St. #1, Southbridge, NY 01550 | 2017-08-22 |
| 1811300023 | Mary Dayotas | Counselor | 176 Main St., Southbridge, MA 01550 | 2014-06-05 |
| 1962752121 | You Inc | Community/Behavioral Health | 238 Main Street, Southbridge, MA 01550 | 2012-09-14 |
| Find all providers in zip 01550 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477580843 | William Francis Petrone | Emergency Medicine | Harrington Memorial Hospital, 100 South Street, Southbridge, MA 01550 | 2006-06-28 |
| 1255622304 | Kathleen Cara Coan | Emergency Medicine | 100 South St, Southbridge, MA 01550-4051 | 2011-04-25 |
| 1447571104 | Marie King | Emergency Medicine | 100 South St, Southbridge, MA 01550-4051 | 2010-06-17 |
| 1528294311 | Lisa M. Bienia-kenton | Emergency Medicine | 100 South St, Southbridge, MA 01550-4051 | 2009-06-08 |
| 1811157167 | Giza High | Emergency Medicine | 100 South St, Southbridge, MA 01550-4051 | 2008-06-11 |
| 1487814737 | John J. Flanagan | Emergency Medicine | 100 South St, Southbridge, MA 01550-4051 | 2008-06-11 |
| 1164682423 | Andrew Marino | Emergency Medicine | 100 South St, Southbridge, MA 01550-4051 | 2008-06-11 |
| 1245385988 | James C Stephens | Emergency Medicine | 100 South St, Southbridge, MA 01550-4051 | 2007-01-24 |
| 1427100478 | Doreen M Norberg | Emergency Medicine | 100 South St, Southbridge, MA 01550-4051 | 2007-01-18 |
| 1013923101 | Carl John Vanderputten | Emergency Medicine | 100 South St, Harrington Memorial Hospital, Southbridge, MA 01550-8002 | 2006-07-31 |
| Find all providers in SOUTHBRIDGE | ||||
| City | SOUTHBRIDGE |
| Zip Code | 01550 |
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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.