Susan K Gray (NPI# 1770616559, PAC ID# 3476573551) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1770616559 |
| PAC ID by PECOS | 3476573551 |
| Professional Enrollment ID | I20051205000279 |
| Full Name | Susan K Gray |
| Organization Legal Name | GIBSON COMMUNITY HOSPITAL ASSOCIATION |
| Address |
912 W Seminary Ave Onarga IL 60955-1401 |
| Phone Number | 8152684840 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2001 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5092703124 |
| Number of Group Practice Members | 83 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 141317 | GIBSON COMMUNITY HOSPITAL |
| 140167 | IROQUOIS MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 912 W Seminary Ave, Onarga, IL 60955-1401 | 8152684840 | GIBSON COMMUNITY HOSPITAL ASSOCIATION |
| Organization Legal Name | GIBSON COMMUNITY HOSPITAL ASSOCIATION |
| Physicians | 83 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristina Evelyn Dakis | Family Medicine | Gibson Community Hospital Association | 227 N Market St, Paxton, IL 60957-1123 |
| Kara Moody | Nurse Practitioner | Gibson Community Hospital Association | 1230 George Rock Dr, Farmer City, IL 61842-9488 |
| Tiffany A Rushing | Nurse Practitioner | Gibson Community Hospital Association | 705 S Dixie Hwy, Hoopeston, IL 60942-1904 |
| Bernadette M Ray | Family Medicine | Gibson Community Hospital Association | 201 E 8th St, Gibson City, IL 60936-1422 |
| Jesse P Butler | Orthopedic Surgery | Gibson Community Hospital Association | 10 Doctors Park, Gibson City, IL 60936-2004 |
| Frank A Wrestler | Internal Medicine | Gibson Community Hospital Association | 1504 Patton Dr, Suite 2, Mahomet, IL 61853-8126 |
| Benjamin E Brewer | Family Medicine | Gibson Community Hospital Association | 122 E Wabash Ave, Forrest, IL 61741-9369 |
| Cynthia Lee | Clinical Social Worker | Gibson Community Hospital Association | 4 Doctors Park, Gibson City, IL 60936-2000 |
| Ignacio J Orellana | Family Medicine | Gibson Community Hospital Association | 1120 N Melvin St, Gibson City, IL 60936-1477 |
| Prakash Thopiah | Cardiovascular Disease (cardiology) | Gibson Community Hospital Association | 1120 N Melvin St, Gibson City, IL 60936-1477 |
| Street Address |
912 W SEMINARY AVE |
| City | ONARGA |
| State | IL |
| Zip | 60955-1401 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Crickett J Engelbrecht | Nurse Practitioner | Gibson Community Hospital Association | 912 W Seminary Ave, Onarga, IL 60955-1401 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Flavel Josef Heyman | Optometry | 109 N Chestnut St, Flavel J Heyman Od, Onarga, IL 60955-1255 | |
| Diane B Heyman | Optometry | 109 N Chestnut St, Onarga, IL 60955-1255 |
| City | ONARGA |
| Zip Code | 60955 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ONARGA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Susan K Gray.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.