DR. JACQUELINE J GRAY (NPI# 1346354297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346354297 |
| Entity Type | Individual |
| Full Name | DR. JACQUELINE J GRAY |
| Credential | MD |
| Practice Address |
331 N Breiel Blvd Middletown OH 45042 |
| Mailing Address |
3041 Martin Luther King Drive Shreveport LA 71107 |
| Practice Telephone | 5134241856 |
| Practice Fax Number | 5134241850 |
| Mailing Telephone | 3182273350 |
| Mailing Fax Number | 3182273350 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2016-12-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 35075835 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2489258 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457808545 | Jacqueline Gray | Nurse Practitioner | 5420 Dutchmans Pkwy, Suite 200, Louisville, KY 40205-3373 | 2016-09-06 |
| 1780065946 | Jacqueline Noel Gray | Military Health Care Provider | 1972 State Route 73, Peebles, OH 45660-9587 | 2015-06-13 |
| 1265835847 | Jacqueline Gray | Nurse's Aide | 4154 Wilmington Rd, South Euclid, OH 44121-3137 | 2014-09-26 |
| 1669948543 | Jacqueline Rebecca Gray | Registered Nurse | 13030 121st Way Ne, Kirkland, WA 98034-3008 | 2018-10-18 |
| 1235510017 | Jacqueline Gray | Social Worker | 100 Nb Gratiot Ave, Mount Clemens, MI 48043-2301 | 2015-06-17 |
| 1962897843 | Jacqueline A Gray | Physician Assistant | 94 Old Short Hills Rd, Livingston, NJ 07039-5672 | 2015-03-30 |
| 1881094522 | Jacqueline Gray | Case Manager/Care Coordinator | 801 Douglas Ave Ste 208, Altamonte Springs, FL 32714-5206 | 2014-08-29 |
| 1508283797 | Jacqueline Gray | Behavioral Analyst | 3636 Las Vegas Blvd N, Suite B, Las Vegas, NV 89115-1555 | 2014-03-25 |
| 1770701393 | Jacqueline Gray | Marriage & Family Therapist | 2960 Camino Diablo, Suite 200, Walnut Creek, CA 94597-3988 | 2007-04-20 |
| 1124066725 | Jacqueline Mary Gray | Psychologist | 5212 Katella Ave, Suite #202, Los Alamitos, CA 90720-2828 | 2006-06-03 |
| Street Address |
331 N BREIEL BLVD |
| City | MIDDLETOWN |
| State | OH |
| Zip Code | 45042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801900741 | Diana E Small | Pediatrics | 331 N Breiel Blvd, Middletown, OH 45042 | 2006-08-18 |
| 1912488701 | Jennifer Thornicroft | Nurse Practitioner | 331 N Breiel Blvd, Middletown, OH 45042-3868 | 2018-08-28 |
| 1104112531 | Sandra Louise Bailey | Nurse Practitioner | 331 N Breiel Blvd, Middletown, OH 45042-3868 | 2011-06-23 |
| 1407146616 | Rebecca Dandoy | Pediatrics | 331 N Breiel Blvd, Middletown, OH 45042-3868 | 2011-04-10 |
| 1093919177 | Childrens Medical Center Inc | Specialist | 331 N Breiel Blvd, Middletown, OH 45042-3868 | 2007-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801413919 | Stacey Ward | Nurse Practitioner | 1055 Summit Dr., Middletown, OH 45042 | 2020-07-06 |
| 1962978759 | Stephani Chandra Miller | Counselor | 160 N. Breiel Blvd, Middletown, OH 45042 | 2018-10-18 |
| 1124504378 | Butler County Community Health Consortium, Inc. | Clinic/Center | 601 N Breiel Blvd Ste B, Middletown, OH 45042 | 2018-07-11 |
| 1417474883 | Tiffany Marie Ott | Registered Nurse | 1229 Ellen Dr, Middletown, OH 45042 | 2017-08-27 |
| 1184074650 | Camelot Realty, LLC | Intermediate Care Facility, Mentally Retarded | 1909 Jackson Lane, Middletown, OH 45042 | 2016-06-15 |
| 1639529100 | Camelot Realty, LLC | Intermediate Care Facility, Mentally Retarded | 4623 Central Avenue, Middletown, OH 45042 | 2016-06-15 |
| 1811347388 | Camelot Raalty, LLC | Intermediate Care Facility, Mentally Retarded | 4923 Hendrickson Rd, Middletown, OH 45042 | 2016-06-15 |
| 1790135234 | Camelot Realty, LLC | Intermediate Care Facility, Mentally Retarded | 4895 Hendrickson Rd., Middletown, OH 45042 | 2016-06-15 |
| 1720438294 | Camelot Realty, LLC | Intermediate Care Facility, Mentally Retarded | 4907 Hendrickson Rd., Middletown, OH 45042 | 2016-06-15 |
| 1174948129 | Sherry L. Flannery | Nurse Practitioner | 4961 Middletown Oxford Road, Middletown, OH 45042 | 2014-02-27 |
| Find all providers in zip 45042 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821328162 | Kenneth Mark Robbins | Pediatrics | 10 Yellow Birch Rd, Middletown, CT 06457-4921 | 2010-01-09 |
| 1104066653 | James Y Cho | Pediatrics | 3 Manitto Pl, Middletown, NJ 07748-3707 | 2009-02-24 |
| 1982870077 | Warren Gilman | Pediatrics | 7 Starhaven Ave, Middletown, NY 10940-4617 | 2008-05-07 |
| 1528187572 | Dunning Road Pediatrics | Pediatrics | 390 Crystal Run Road Suite110, Middletown, NY 10941 | 2007-03-29 |
| 1932233293 | David Hill | Pediatrics | 100 Crystal Run Road, Suite 107, Middletown, NY 10940 | 2007-03-16 |
| 1912047861 | Middletown Community Health Center Inc | Pediatrics | 14 Grove Street, Middletown, NY 10940 | 2007-02-08 |
| 1780759050 | Chitra Vaidy | Pediatrics | 200 Cleaver Farm Rd Ste 201, Nemours Dupont Pediatrics, Middletown, Middletown, DE 19709-1630 | 2006-11-22 |
| 1851482236 | Gerard A. Kuhn | Pediatrics | Nemours Pediatrics Middletown, 200 Cleaver Farm Road Suite 201, Middletown, DE 19709-1630 | 2006-09-28 |
| 1801900741 | Diana E Small | Pediatrics | 331 N Breiel Blvd, Middletown, OH 45042 | 2006-08-18 |
| 1992819833 | James Michael Komer | Pediatrics | 331 N Breier Road, Middletown, OH 45042 | 2006-08-18 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 45042 |
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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.