PENNIE MARIE GRAY (NPI# 1821183831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821183831 |
| Entity Type | Individual |
| Full Name | PENNIE MARIE GRAY |
| Credential | CNS |
| Practice Address |
18660 East Bagley Road Suite 405 Phase II Middleburg Heights OH 44130-8492 |
| Practice Telephone | 4402430530 |
| Practice Fax Number | 4402433351 |
| Mailing Telephone | 4402430530 |
| Mailing Fax Number | 4402433351 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
RN187429 | OH | Nursing Service Providers |
| X | 364S00000X | Clinical Nurse Specialist | NS02451 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
18660 EAST BAGLEY ROAD SUITE 405 PHASE II |
| City | MIDDLEBURG HEIGHTS |
| State | OH |
| Zip Code | 44130-8492 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710072723 | Carol Manders Cardello | Registered Nurse | 18660 East Bagley Road, Suite 405 Phase II, Middleburg Heights, OH 44130-8492 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912545427 | Northeast Care Center, Inc. | Intermediate Care Facility, Mentally Retarded | 19080 Bagley Road, Middleburg Hts., OH 44130 | 2019-12-16 |
| 1982189148 | Carl Steinhoff | Registered Nurse | 13766 Cherokee Trail, Middleburg Heights, OH 44130 | 2018-10-03 |
| 1649756321 | Beatrice Shepherd | Counselor | 5253 Hauserman Rd Apt 212, Parma, OH 44130 | 2018-07-16 |
| 1841705068 | New Heights Aba, LLC | Behavioral Analyst | 6908 Engle Rd Ste D, Middleburg Heights, OH 44130 | 2017-12-11 |
| 1275059842 | Tynisha Nicole Nation | Registered Nurse | 6431 Olde York, Parma Hts, OH 44130 | 2017-08-16 |
| 1609328558 | Lisa Wolanin | Physical Therapist | 186970bagley Road, Middleburg Hts, OH 44130 | 2016-10-26 |
| 1184074205 | Tanya Makowski | Nurse Practitioner | 7215 Old Oak Blvd Ste A420, Cleveland, OH 44130 | 2016-06-20 |
| 1093165706 | Dana Hyde | Dentist | 7528 Pearl Rd, Middleburg Heights, OH 44130 | 2016-06-14 |
| 1689046625 | Kimberly Ann Piro | Nurse Practitioner | 12240 Zona Ln, Parma, OH 44130 | 2015-10-29 |
| 1225400088 | Larrise Williford | Registered Nurse | 11491 Sharon Dr Apt C705, Parma, OH 44130 | 2015-10-20 |
| Find all providers in zip 44130 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730413956 | Stephen Richard Pessefall | Registered Nurse | 18660 Bagley Rd, Middleburg Heights, OH 44130-3483 | 2009-09-21 |
| 1710072723 | Carol Manders Cardello | Registered Nurse | 18660 East Bagley Road, Suite 405 Phase II, Middleburg Heights, OH 44130-8492 | 2006-10-04 |
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|---|---|---|---|---|
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| 1578059390 | Uche Fidelia Okafor | Registered Nurse | 1071 Governors Dr, Fairfield, OH 45014-2945 | 2018-07-04 |
| 1952894990 | Vakolane Home Healthcare, LLC | Registered Nurse | 1653 Brice Rd Uppr Floor, Reynoldsburg, OH 43068-2797 | 2018-06-13 |
| 1366959827 | Emma J Hubert | Registered Nurse | 1506 William Howard Taft Rd Apt 6, Cincinnati, OH 45206-2188 | 2018-01-05 |
| 1700397056 | Ann Marie Tahan | Registered Nurse | 4558 Santina Way, Lorain, OH 44053-4400 | 2017-10-13 |
| 1689195661 | Rose L Sams | Registered Nurse | 1750 Goodyear Blvd, Akron, OH 44305-2919 | 2017-06-29 |
| 1760918395 | Mary Bingham | Registered Nurse | 8100 Ravines Edge Ct Ste 200, Columbus, OH 43235-5426 | 2017-05-02 |
| 1821538596 | Kathryn Ann Milligan | Registered Nurse | 12395 Mccracken Rd Ste H, Garfield Hts, OH 44125-2946 | 2017-03-01 |
| 1396292108 | Elizabeth Delancey-niksa | Registered Nurse | 1209 Andrews Ave, Lakewood, OH 44107-2403 | 2016-09-09 |
| 1437603586 | Leah Afreh | Registered Nurse | 2582 W Broad St, Columbus, OH 43204-3326 | 2016-08-06 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLEBURG HEIGHTS |
| Zip Code | 44130 |
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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.