MR. CHARLES R GRAY (NPI# 1316970163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316970163 |
| Entity Type | Individual |
| Full Name | MR. CHARLES R GRAY |
| Credential | PA-C |
| Practice Address |
3207 N Academy Blvd Ste 3500 Colorado Springs CO 80917-5100 |
| Mailing Address |
126 Stanwell St Colorado Springs CO 80906-7993 |
| Practice Telephone | 7196325700 |
| Mailing Telephone | 7195760151 |
| Mailing Fax Number | 7195382961 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 2003002307 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA.0002579 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BLUE CROSS BLUE SHIELD | 173190 | 01 |
| MO | HEALTHLINK | 523191 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051250 | Charles M Gray | Non-emergency Medical Transport (VAN) | 5863 Renninger Road, New Franklin, OH 44319 | 2020-10-22 |
| 1144485038 | Charles Robert Gray | Chiropractor | 360 E International Airport Rd Ste 4, Anchorage, AK 99518-1217 | 2008-07-21 |
| 1093932451 | Charles E. Gray | Dentist | 417 Tivy St, Kerrville, TX 78028-4655 | 2007-04-19 |
| 1518953173 | Charles F Gray | Psychologist | 8303 Sw Fwy, Suite 330, Houston, TX 77074-1600 | 2005-09-20 |
| 1356870463 | Charles D Gray | Dentist | 107 N Crosby Ave, Janesville, WI 53548-3333 | 2017-06-12 |
| 1811337918 | Charles Tykee Gray | Rehabilitation Practitioner | 821 N Mojave Rd, Las Vegas, NV 89101-2407 | 2013-07-03 |
| 1821234394 | Charles Gray | Physical Therapist | 11134 N State Road 77, Duluth Clinic Hayward, Hayward, WI 54843-5325 | 2009-01-05 |
| 1366505380 | Charles Gray | Psychiatry & Neurology | 2055 E Allegheny Ave, Philadelphia, PA 19134-3832 | 2006-12-19 |
| 1841375714 | Charles D Gray | Orthopaedic Surgery | 102 Gregor Mendel Cir, Greenwood, SC 29646-2315 | 2006-10-26 |
| 1053429845 | Charles Gibson Gray | Dentist | 3838 N Rural St, Indianapolis, IN 46205-2930 | 2006-08-29 |
| Street Address |
3207 N ACADEMY BLVD STE 3500 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80917-5100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912391012 | Mary Capstick | Physician Assistant | 3207 N Academy Blvd Ste 3500, Colorado Springs, CO 80917-5100 | 2015-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910499 | Select Physical Therapy of Colorado Springs Lp | Durable Medical Equipment & Medical Supplies | 5660 Barnes Road, Suite 116, Colorado Springs, CO 80917 | 2020-07-30 |
| 1043796774 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3475 North Academy Blvd, Colorado Springs, CO 80917 | 2018-07-16 |
| 1598273153 | Ariana Goemaere | Behavior Technician | 3535 Parkmoor Village Dr, Colorado Springs, CO 80917 | 2018-01-17 |
| 1366959769 | Behavioral Health Consultants, Inc. | Clinic/Center | 3210 North Academy Blvd, Suite 3, Colorado Springs, CO 80917 | 2018-01-08 |
| 1558870030 | Falisha Rief | Assistant Behavior Analyst | 2790 North Academy Blvd, Suite 180, Colorado Springs, CO 80917 | 2017-09-27 |
| 1407374655 | Christina Otto | Assistant Behavior Analyst | 2790 North Academy, Suite 180, Colorado Springs, CO 80917 | 2017-09-07 |
| 1992155956 | Georgina Segura | Nurse Practitioner | 5135 Iron Horse Trl, Colorado Springs, CO 80917 | 2016-06-20 |
| 1952685182 | Barbara Hazard Henning | Pharmacist | 3840 N Academy Blvd, Colorado Springs, CO 80917 | 2011-10-06 |
| 1659651412 | Nicole Blakesley | Psychologist | 3264 Vail Pass Drive, Colorado Springs, CO 80917 | 2011-08-25 |
| 1427360254 | Austinbluffs Dental Prof. LLC | Dentist | 3952 North Academy, Colorado Springs, CO 80917 | 2010-07-09 |
| Find all providers in zip 80917 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851726681 | Lisa Kay Adams | Physician Assistant | 525 N Foote Ave Ste 202, Colorado Springs, CO 80909-4501 | 2013-09-11 |
| 1992945208 | Susan Gardiner Cump | Physician Assistant | 2940n Circle Dr, Colorado Springs, CO 80909-1160 | 2009-02-26 |
| 1356591762 | Johnathon D. Kupfner | Physician Assistant | 1584 Jackson Creek Parkway, Ste 120, Colorado Springs, CO 80132 | 2008-09-22 |
| 1427218916 | Gary Patrick Tocci | Physician Assistant | 9310 Sky King Dr, Colorado Springs, CO 80924-2020 | 2008-06-10 |
| 1619144888 | Laurie K Redding | Physician Assistant | 2130 Hollow Brook Dr, Suite 100, Colorado Springs, CO 80918-8400 | 2008-05-15 |
| 1760520746 | Donald Ray Lawson | Physician Assistant | 7667 Steward Ln, Colorado Springs, CO 80922-6327 | 2007-02-02 |
| 1245321140 | Kim Redinger | Physician Assistant | 1740 Pepperwood Dr, Colorado Springs, CO 80910-1525 | 2006-09-27 |
| 1366452401 | Kenneth L Phillips Jr. | Physician Assistant | 15026 La Jolla Pl, Colorado Springs, CO 80921-2564 | 2006-08-09 |
| 1770538159 | Jane D Brockhausen | Physician Assistant | 5799 Stetson Hills Blvd Ste 100, Colorado Springs, CO 80917-4223 | 2006-05-23 |
| 1033173851 | Michael E Young | Physician Assistant | 2222 N Nevada Ave Ste 5011, Colorado Springs, CO 80907-6819 | 2006-04-17 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80917 |
Please comment or provide details below to improve the information on MR. CHARLES R 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.