RICHARD J GRAY (NPI# 1407846090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407846090 |
| Entity Type | Individual |
| Full Name | RICHARD J GRAY |
| Credential | MD |
| Practice Address |
7959 Bustleton Ave Philadelphia PA 19152-3320 |
| Mailing Address |
40 Valley Stream Pkwy Suite 100 Malvern PA 19355-1407 |
| Practice Telephone | 2157425662 |
| Practice Fax Number | 2157425663 |
| Mailing Telephone | 6106448900 |
| Mailing Fax Number | 6106448909 |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2016-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD17704 | DC | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
MD434194 | PA | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
MD17704 | DC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 102173425 | 05 | |
| PA | MEDICAL LICENSE NUMBER | MD434194 | 01 |
| PA | MEDICARE | 125141RS8 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871065524 | Richard Gray Sr. | Psychologist | 2033 Seagirt Blvd Apt 3g, Far Rockaway, NY 11691-2933 | 2018-12-19 |
| 1285093542 | Richard Gray | Speech-Language Pathologist | 5247 Ogilvie Ave, Paducah, KY 42001-6765 | 2016-02-15 |
| 1679796486 | Richard Ian Gray | Radiology | 865 Jefferson Ave # F150, Uthsc Dept. of Radiology, Memphis, TN 38103-2807 | 2007-04-10 |
| 1063540847 | Richard H. Gray | Dentist | 1135 Kenneth Ave, New Kensington, PA 15068-5629 | 2007-03-01 |
| 1942344585 | Richard Alan Gray | Massage Therapist | 1104 Elm St, Calistoga, CA 94515-1614 | 2007-02-16 |
| 1992894984 | Richard Brian Gray | Marriage & Family Therapist | 57407 Twentynine Palms Highway, Suite F, Yucca Valley, CA 92284-3117 | 2006-10-11 |
| 1275628539 | Richard Michael Gray | Dentist | 940 Belmont 160 St, Brockton Va Medical Ctr, Brockton, MA 02401 | 2006-10-04 |
| 1407857527 | Richard Jerome Gray | Dentist | 1149 Jefferson Green Cir, Midlothian, VA 23113-4300 | 2005-08-10 |
| 1598760415 | Richard Warren Gray | Dentist | 840 Us Highway 1, Ste 205, North Palm Beach, FL 33408-3833 | 2005-06-16 |
| 1467917559 | Richard Sullivan Gray | Chiropractor | 1805 Hinkle Dr Ste 150, Denton, TX 76201-1768 | 2019-02-04 |
| Street Address |
7959 BUSTLETON AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19152-3320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851905269 | Alexis Catherine Andersen | Dietitian, Registered | 7959 Bustleton Ave, Philadelphia, PA 19152-3320 | 2020-09-02 |
| 1154873594 | American Access Care of Pennsylvania Asc LLC | Clinic/Center | 7959 Bustleton Ave, Philadelphia, PA 19152-3320 | 2016-11-02 |
| 1942516430 | American Access Care of Pennsylvania LLC | Clinic/Center | 7959 Bustleton Ave, Philadelphia, PA 19152-3320 | 2010-08-23 |
| 1063487627 | American Access Care of Pennsylvania LLC | Radiology | 7959 Bustleton Ave, Philadelphia, PA 19152-3320 | 2006-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412416 | Vishak Hari Kumar | Student in an Organized Health Care Education/Training Program | 2601 Holme Ave., Philadelphia, PA 19152 | 2020-06-19 |
| 1093298325 | Friendly Smile Dental Inc | Clinic/Center | 7608 Castor Ave 1 St Floor, Philadelphia, PA 19152 | 2018-09-12 |
| 1659857720 | Jaini Desai | Behavior Technician | 2982 Welsh Rd, Philadelphia, PA 19152 | 2018-07-12 |
| 1578066395 | Alexis Turbin | Physician Assistant | 8001 Roosevelt Blvd Ste 307, Philadelphia, PA 19152 | 2018-03-18 |
| 1215452982 | Nazareth Physician Services Inc | Social Worker | 2630 Holme Ave Ste 101, Philadelphia, PA 19152 | 2017-08-03 |
| 1437671955 | Anca & Leo LLC | Home Health | 9107 Revere St Ste 1, Philadelphia, PA 19152 | 2017-07-17 |
| 1407377435 | Erin O'neill Mcdermott | Nurse Practitioner | 1906 Tustin St., Philadelphia, PA 19152 | 2017-06-29 |
| 1700307766 | Vinayasree Shyam | Internal Medicine | 2601 Holme Avenue, Internal Medicine Residency, Philadelphia, PA 19152 | 2017-06-29 |
| 1497292833 | Joy & Comfort Home Care | Home Health | 2303 Stanwood St, Philadelphia, PA 19152 | 2017-01-24 |
| 1700320330 | Anna Lvovna Blinava | Pharmacist | 8330 Bustleton Ave Bells Market Pharmacy, Philadelphia, PA 19152 | 2016-12-16 |
| Find all providers in zip 19152 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184854531 | John Yoon | Radiology | 9 N 9th St Unit 510, Philadelphia, PA 19107-3154 | 2009-07-20 |
| 1144423096 | Jonathan Ira Lieberman | Radiology | 1016 Chestnut St, Thomas Jefferson University Hospital, Philadelphia, PA 19107-5010 | 2007-06-07 |
| 1336188945 | David R. Hertzog | Radiology | 2412 W Passyunk Ave, Philadelphia, PA 19145-4114 | 2006-06-06 |
| 1760441760 | James Frederick Mcguckin Jr. | Radiology | 2929 Arch Street, Suite 1705, Philadelphia, PA 19104-2866 | 2006-03-20 |
| 1588639819 | American Access Care of Sp LLC | Radiology | 2412-14 West Passyunk Ave., Philadelphia, PA 19145-4114 | 2006-02-21 |
| 1104816453 | Huynh Doan | Radiology | Broad & Vine St, Philadelphia, PA 19102 | 2005-10-27 |
| 1174513105 | Mark Hysell | Radiology | Broad & Vine St S, Philadelphia, PA 19102 | 2005-10-21 |
| 1699774257 | Image Guided Surgery Associates, PC | Radiology | 5735 Ridge Ave, Ste 106, Philadelphia, PA 19128-1745 | 2005-07-17 |
| 1033753405 | Stc Pediatrics LLC | Radiology | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-10-29 |
| 1033670153 | Jung Hyun Yun | Radiology | 5501 Old York Road, Philadelphia, PA 19141 | 2019-03-29 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19152 |
Please comment or provide details below to improve the information on RICHARD 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.