SCOTT K GRAY DPM PA (NPI# 1679782411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679782411 |
| Entity Type | Organization |
| Organization Name | SCOTT K GRAY DPM PA |
| Practice Address |
8604 Dollarway Rd White Hall AR 71602-2814 |
| Practice Telephone | 8705363669 |
| Practice Fax Number | 8705360149 |
| Mailing Telephone | 8705363669 |
| Mailing Fax Number | 8705360149 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2012-11-07 |
| Authorized Official Name | DR. SCOTT K GRAY (PRESIDENT SECRETARY) |
| Authorized Official Telephone | 8705363669 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
197 | AR | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 152076716 | 05 | |
| AR | BCBS | 5F841 | 01 |
| Street Address |
8604 DOLLARWAY RD |
| City | WHITE HALL |
| State | AR |
| Zip Code | 71602-2814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275521601 | Scott Kevin Gray | Podiatrist | 8604 Dollarway Rd, White Hall, AR 71602-2814 | 2005-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265050447 | Bridget Furlong | Occupational Therapist | 2226 Barncy Lane, White Hall, AR 71602 | 2020-07-14 |
| 1609399963 | Interventional Surgery Institute of White Hall LLC | Clinic/Center | 7211 Dollarway Road, White Hall, AR 71602 | 2017-07-19 |
| 1679935761 | Pain Treatment Centers of America, Pllc | Durable Medical Equipment & Medical Supplies | 7211 Dollarway Rd, White Hall, AR 71602 | 2016-03-28 |
| 1326450446 | Rafeek Hegazy | Anesthesiology | 202 Frankie Ln, White Hall, AR 71602 | 2014-05-22 |
| 1275873515 | Craig Paul Anderson | Preventive Medicine | 13-020 Kabrich Circle, Pine Bluff, AR 71602 | 2013-02-24 |
| 1124258553 | Shellia Anne Kornegay | Nurse Practitioner | 1515 West 42nd Street, Pine Bluff, AR 71602 | 2009-07-20 |
| 1275789109 | Sarah Allison Rushing | Speech-Language Pathologist | 1020 West Holland Avenue, White Hall, AR 71602 | 2008-08-12 |
| 1245438852 | White Hall School District | Local Education Agency (LEA) | 1020 West Holland, White Hall, AR 71602 | 2007-07-05 |
| 1972622652 | Dewey Charles Scarbrough | Physician Assistant | 109 Frankie Lane, White Hall, AR 71602 | 2007-03-27 |
| 1427126135 | Donna D Massey | Dentist | 7215 Sheridan Road, White Hall, AR 71602 | 2006-12-01 |
| Find all providers in zip 71602 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821201237 | Harvey Franklin Brown IIi | Podiatrist | 2001 Georgia Ave, Little Rock, AR 72207-5014 | 2007-05-08 |
| 1477644516 | Calvin D Baize | Podiatrist | 2375 White Dr, Batesville, AR 72501-9473 | 2006-09-27 |
| 1194255349 | River North Podiatry, P. A. | Podiatrist | 2411 Mccain Blvd, North Little Rock, AR 72116-7505 | 2017-06-19 |
| 1003074477 | Dr Anika T Whitfield LLC | Podiatrist | 500 S University Ave, Suite 707, Little Rock, AR 72205-5302 | 2008-06-01 |
| 1356525026 | Family Medicine Podiatry | Podiatrist | 1801 W 40th Ave, Suite 6b, Pine Bluff, AR 71603-6940 | 2007-12-18 |
| 1326233263 | Family Foot Care, Pa | Podiatrist | 9000 Rogers Ave, Suite B, Fort Smith, AR 72903-5249 | 2007-09-13 |
| 1821281528 | Joseph M. Lacava, Dpm.,pa | Podiatrist | 3339 Central Ave, Ste.f, Hot Springs, AR 71913-6138 | 2007-08-26 |
| 1407953458 | Jame Beth Pierce | Podiatrist | 4200 N Rodney Parham Rd, Suite 100, Little Rock, AR 72212-2461 | 2006-09-20 |
| 1487698478 | William George Coates Jr. | Podiatrist | 637 E Matthews Ave, Jonesboro, AR 72401-3145 | 2006-06-16 |
| City | WHITE HALL |
| Zip Code | 71602 |
Please comment or provide details below to improve the information on SCOTT K GRAY DPM PA.
| 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.