DR. TODD WILLIAM GRAY (NPI# 1447346630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447346630 |
| Entity Type | Individual |
| Full Name | DR. TODD WILLIAM GRAY |
| Credential | MD |
| Practice Address |
5409 Avenue O Fort Madison IA 52627-9601 |
| Mailing Address |
5409 Avenue O Po Box 1470 Fort Madison IA 52627-9601 |
| Practice Telephone | 3193762134 |
| Practice Fax Number | 3193762188 |
| Mailing Telephone | 3193762134 |
| Mailing Fax Number | 3193762188 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2010-02-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 38691 | IA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 1584850 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | WELLMARK | 1447346630 | 01 |
| IA | 1447346630 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740803303 | Todd Gray | Registered Nurse | 5400 W National Ave, Milwaukee, WI 53214-3461 | 2020-05-18 |
| 1538259908 | Todd Alan Gray | Dentist | 1701 County Rd Ste I, Minden, NV 89423-4465 | 2006-10-13 |
| 1962515684 | Todd Gray | Physician Assistant | 268 Brookley Ave, Bolling Afb, DC 20032 | 2006-08-16 |
| 1437705076 | Todd Gray | Home Health Aide | 3210 W Charleston Blvd Ste 2, Las Vegas, NV 89102-0080 | 2019-08-09 |
| 1639665730 | Todd Gray | Registered Nurse | 2701 W Superior St, Duluth, MN 55806-1856 | 2018-07-02 |
| 1972931582 | Todd Z Gray | Veterinarian | 2551 Warrenville Rd, Downers Grove, IL 60515-1724 | 2013-10-16 |
| 1831336015 | Todd D Gray | Nurse Anesthetist, Certified Registered | 2600 Greenwood Rd, Shreveport, LA 71103-3908 | 2009-01-09 |
| 1679587422 | Todd A Gray | Urology | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2006-07-28 |
| Street Address |
5409 AVENUE O |
| City | FORT MADISON |
| State | IA |
| Zip Code | 52627-9601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003814179 | Michael D David | Family Medicine | 5409 Avenue O, Fort Madison, IA 52627-9601 | 2005-07-12 |
| 1205315116 | Michelle Lynn Hornung | Nurse Practitioner | 5409 Avenue O, Fort Madison, IA 52627-9601 | 2018-08-10 |
| 1457877177 | Carrie Skibba | Nurse Practitioner | 5409 Avenue O, Fort Madison, IA 52627-9601 | 2017-08-15 |
| 1659896587 | Nicole Frances Wilcox | Nurse Practitioner | 5409 Avenue O, Fort Madison, IA 52627-9601 | 2017-08-11 |
| 1902327604 | Bobbi Jo Marshall | Nurse Practitioner | 5409 Avenue O, Fort Madison, IA 52627-9601 | 2017-07-03 |
| 1629506829 | Mariah Skelley | Registered Nurse | 5409 Avenue O, Fort Madison, IA 52627 | 2017-06-01 |
| 1679008635 | Kyle Gibson | Physician Assistant | 5409 Avenue O, Fort Madison, IA 52627-9601 | 2017-04-27 |
| 1821531203 | Rural Surgical Relief, PC | Surgery | 5409 Avenue O, Fort Madison, IA 52627-9601 | 2016-12-02 |
| 1700331311 | Gwendolyn Scott | Nurse Practitioner | 5409 Avenue O, Fort Madison, IA 52627-9601 | 2016-08-24 |
| 1518349539 | Ruth Barosy | Family Medicine | 5409 Avenue O, Fort Madison, IA 52627-9601 | 2015-06-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538421839 | Midwest Respiratory Care Inc. | Durable Medical Equipment & Medical Supplies | 2310 Ave L, Fort Madison, IA 52627 | 2012-06-12 |
| 1013169929 | Sunnybrook of Ft. Madison | Assisted Living Facility | 5052 River Valley Road, Ft. Madison, IA 52627 | 2008-10-22 |
| 1013164532 | Navaro Noah Spartaco | Pathology | 5444 Ave O, Fort Madison, IA 52627 | 2008-08-27 |
| 1679794432 | Paul Scot Kunch | Dentist | 1605 Avenue A, Fort Madison, IA 52627 | 2007-05-01 |
| 1245364033 | David R Courtney | Dentist | 525 Avenue G, Fort Madison, IA 52627 | 2007-03-15 |
| 1578664249 | Rashid Pharmacy Plc | Durable Medical Equipment & Medical Supplies | 2404 Ave L, Fort Madison, IA 52627 | 2006-09-26 |
| 1033174628 | Leah Steffensmeier | Obstetrics & Gynecology | Fort Madison Physicians and Surgeons, 5409 Avenue O, Fort Madison, IA 52627 | 2006-04-18 |
| 1396705190 | Larry George Rounds | Chiropractor | 1605 Ave E, Fort Madison, IA 52627 | 2006-03-24 |
| 1063490407 | Air Evac Ems Inc | Ambulance | 5433 Avenue O, Fort Madison, IA 52627 | 2006-01-05 |
| 1992281984 | L.d Peck,pc | Optometrist | 716 Avenue G, Fort Madison, IA 52627 | 2018-07-13 |
| Find all providers in zip 52627 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407260953 | Pauline Mungai | Internal Medicine | 5409 Avenue O, Fort Madison, IA 52627 | 2014-06-12 |
| 1972943439 | Lisa Bishop | Internal Medicine | 5409 Avenue O, Fort Madison, IA 52627-9601 | 2013-06-28 |
| 1730412412 | Victoria Kogan | Internal Medicine | 5409 Avenue O, Fort Madison, IA 52627-9601 | 2009-09-11 |
| 1376510883 | Artemio Capili Santiago | Internal Medicine | 5409 Ave O, Suite 107, Fort Madison, IA 52627-9601 | 2006-03-02 |
| 1427028760 | Roseller Libarnes | Internal Medicine | 5409 Avenue O, Fort Madison, IA 52627-9601 | 2006-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281915 | Impact Physician Group Iowa LLC | Internal Medicine | 2801 Heartland Dr, Coralville, IA 52241 | 2020-10-01 |
| 1194349076 | Tyler Vance | Internal Medicine | 9005 Bridgewood Blvd Unit 6210, West Des Moines, IA 50266-8198 | 2020-06-05 |
| 1154943900 | Taylor Christine Becker | Internal Medicine | 200 Hawkins Dr., E326-2 Gh, Iowa City, IA 52242-1009 | 2020-05-15 |
| 1659901031 | Gitangali Singh Md Pllc | Internal Medicine | 47 Crabapple Ct, Iowa City, IA 52246-9408 | 2020-01-24 |
| 1245882497 | The Iowa Clinic Executive Health | Internal Medicine | 5950 University Ave Fl 3, West Des Moines, IA 50266-8216 | 2019-07-09 |
| 1588226104 | Laura Sue Kersey | Internal Medicine | 1212 Pleasant St Ste 110, Des Moines, IA 50309-1410 | 2019-07-03 |
| 1780241679 | Kendra Walker Tan | Internal Medicine | 200 Hawkins Dr Dept Internal, Iowa City, IA 52242-1009 | 2019-05-25 |
| 1649837840 | Tyler Craig Bullis | Internal Medicine | 200 Hawkins Dr Dept Int, Iowa City, IA 52242-1009 | 2019-05-22 |
| 1538722152 | Adam Ethan Prescott | Internal Medicine | University of Iowa Hospitals & Clinics (uihc), 200 Hawkins Drive, Department of Internal Medicine, Iowa City, IA 52242-1009 | 2019-04-18 |
| 1548749674 | Kerry Humes | Internal Medicine | 1320 W Lombard St, Davenport, IA 52804-2029 | 2018-08-09 |
| Find all providers with the same taxonomy | ||||
| City | FORT MADISON |
| Zip Code | 52627 |
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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.