MRS. LAURA DIANE GRAY (NPI# 1770882078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770882078 |
| Entity Type | Individual |
| Full Name | MRS. LAURA DIANE GRAY |
| Credential | M.D. |
| Practice Address |
4855 S Moorland Rd Ste 250 New Berlin WI 53151-7494 |
| Mailing Address |
3610 Michelle Witmer Memorial Dr Suite 100 New Berlin WI 53151-5292 |
| Practice Telephone | 2627896020 |
| Practice Fax Number | 2627896025 |
| Mailing Telephone | (262) 789-6020 |
| Mailing Fax Number | 2627896025 |
| Enumeration Date | 2011-03-25 |
| Last Update Date | 2017-06-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 59990 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1770882078 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962034546 | Laura Joyce Gray | Social Worker | 773 S Kirkman Rd Ste 119, Orlando, FL 32811-2046 | 2020-02-11 |
| 1780933507 | Laura Gray | Social Worker | 1012 Parkview Dr, Midwest City, OK 73110-7636 | 2012-09-07 |
| 1679769129 | Laura Scott Gray | Licensed Practical Nurse | 4700 Mueller Brass Rd., Covington, TN 38019-8323 | 2007-09-19 |
| 1790909067 | Laura Ann Gray | Physical Medicine & Rehabilitation | 905 Garfield St, Tupelo, MS 38801-5737 | 2007-04-11 |
| 1912031717 | Laura Ann Gray | Speech-Language Pathologist | 407 Caperton Way, Duncan, SC 29334 | 2007-03-15 |
| 1588674089 | Laura Owen Gray | Midwife | 360 County Complex Rd, Clinton, NC 28328-4845 | 2006-08-08 |
| 1437771177 | Laura Gray | Speech-Language Pathologist | 600 Hospital Dr, Monroe, NC 28112-6000 | 2020-05-16 |
| 1902446503 | Laura Gray | Family Medicine | 20172 E Stagecoach Trl, Cordes Lakes, AZ 86333-2357 | 2020-01-10 |
| 1710478615 | Laura Gray | Behavior Technician | 201 Love Point Rd, Stevensville, MD 21666-2131 | 2018-05-25 |
| 1841749017 | Laura Gray | Counselor | 4933 Wabash St, Metairie, LA 70001-1031 | 2016-09-28 |
| Street Address |
4855 S MOORLAND RD STE 250 |
| City | NEW BERLIN |
| State | WI |
| Zip Code | 53151-7494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851385157 | William D Jeruc | Pediatrics | 4855 S Moorland Rd Ste 250, New Berlin, WI 53151-7494 | 2005-09-01 |
| 1245768662 | Jerrica Brianne Vaughan | Registered Nurse | 4855 S Moorland Rd Ste 250, New Berlin, WI 53151-7494 | 2017-05-30 |
| 1457713711 | Aaron Hanson | Pediatrics | 4855 S Moorland Rd Ste 250, New Berlin, WI 53151-7494 | 2016-03-25 |
| 1053723130 | Benjamin Landgraf | Pediatrics | 4855 S Moorland Rd Ste 250, New Berlin, WI 53151-7494 | 2014-05-23 |
| 1326213562 | Children's Medical Group | Pediatrics | 4855 S Moorland Rd Ste 250, New Berlin, WI 53151-7494 | 2008-04-29 |
| 1407966898 | Jodi O Spahr | Nurse Practitioner | 4855 S Moorland Rd Ste 250, New Berlin, WI 53151-7494 | 2006-08-30 |
| 1104813328 | Michael Gutzeit | Pediatrics | 4855 S Moorland Rd Ste 250, New Berlin, WI 53151-7494 | 2005-10-03 |
| 1710973334 | Connie L Richter | Pediatrics | 4855 S Moorland Rd Ste 250, New Berlin, WI 53151-7494 | 2005-09-20 |
| 1871589390 | Patti Marie Young | Pediatrics | 4855 S Moorland Rd Ste 250, New Berlin, WI 53151-7494 | 2005-09-20 |
| 1679569297 | Robert T Rohloff | Pediatrics | 4855 S Moorland Rd Ste 250, New Berlin, WI 53151-7494 | 2005-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629527486 | Natural Look Salon and Wigs LLC | Durable Medical Equipment & Medical Supplies | 4805 S. Moorland Rd, New Berlin, WI 53151 | 2016-09-22 |
| 1396193033 | New Berlin Medical Services, LLC | Clinic/Center | 15324 W Beloit Road, New Berlin, WI 53151 | 2016-06-02 |
| 1063899680 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 15300 West Grange Avenue, New Berlin, WI 53151 | 2015-05-04 |
| 1871970368 | Mary Spath | Physical Therapy Assistant | 2810 South Acredale Road, New Berlin, WI 53151 | 2015-05-04 |
| 1669885471 | Wauwatosa Prescription Center, Inc. | Pharmacy | 4855 S Moorland Road, New Berlin, WI 53151 | 2014-06-09 |
| 1750711446 | Pure Family Chiropractic LLC | Chiropractor | 3504 S. Moorland Road, New Berlin, WI 53151 | 2013-11-18 |
| 1336578202 | Hamilton John Dowden | Chiropractor | 3504 S Moorland Rd, New Berlin, WI 53151 | 2013-11-01 |
| 1053653618 | Danielle Lynn Lucio | Acupuncturist | 15807 W. National Ave., New Berlin, WI 53151 | 2013-03-21 |
| 1306195110 | Marlena J Friedrich | Registered Nurse | 1709 S. 171st Street, New Berlin, WI 53151 | 2012-09-07 |
| 1548519176 | Patricia M Friedrich | Licensed Practical Nurse | 1709 So. 171st Street, New Berlin, WI 53151 | 2012-08-29 |
| Find all providers in zip 53151 | ||||
| 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 |
|---|---|---|---|---|
| 1811350416 | Brittney Allison Krueger | Pediatrics | 4855 S Moorland Rd Ste 150, New Berlin, WI 53151-7495 | 2016-03-31 |
| 1679816813 | Rachel Crea Lucas | Pediatrics | 4855 N. Moorland Road, Urgent Care Clinic, New Berlin, WI 53151-7494 | 2013-04-05 |
| 1851369748 | Kristin M Millin | Pediatrics | 4855 S Moorland Rd Fl 3, New Berlin, WI 53151-7494 | 2006-03-08 |
| 1851385157 | William D Jeruc | Pediatrics | 4855 S Moorland Rd Ste 250, New Berlin, WI 53151-7494 | 2005-09-01 |
| 1649277278 | Daniel Dorrington | Pediatrics | 4855 S Moorland Rd, Suite 150, New Berlin, WI 53151-7401 | 2005-06-28 |
| 1508229949 | Eman Abdel-latief | Pediatrics | 4855 S Moorland Rd, New Berlin, WI 53151-7494 | 2016-04-02 |
| 1457713711 | Aaron Hanson | Pediatrics | 4855 S Moorland Rd Ste 250, New Berlin, WI 53151-7494 | 2016-03-25 |
| 1104211416 | Regina Shea Dalla Riva | Pediatrics | 4855 S Moorland Rd, New Berlin, WI 53151-7494 | 2015-04-02 |
| 1669861548 | Davietta Butty | Pediatrics | 4855 S Moorland Rd, New Berlin, WI 53151 | 2015-01-15 |
| 1053723130 | Benjamin Landgraf | Pediatrics | 4855 S Moorland Rd Ste 250, New Berlin, WI 53151-7494 | 2014-05-23 |
| Find all providers in NEW BERLIN | ||||
| City | NEW BERLIN |
| Zip Code | 53151 |
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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.