Jennifer P Gray (NPI# 1477820405, PAC ID# 3678740602) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1477820405 |
| PAC ID by PECOS | 3678740602 |
| Professional Enrollment ID | I20120116000065 |
| Full Name | Jennifer P Gray |
| Organization Legal Name | NORTH MEMORIAL HEALTH CARE |
| Address |
2600 - 39th Ave Ne Saint Anthony MN 55421-4372 |
| Phone Number | 6127062900 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0042123028 |
| Number of Group Practice Members | 488 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240001 | NORTH MEMORIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3300 Oakdale Ave N, Suite 200, Minneapolis, MN 55422-2926 | 7635202000 | NORTH MEMORIAL HEALTH CARE |
| 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | NORTH MEMORIAL HEALTH CARE | |
| 3300 Oakdale N Ave, Robbinsdale, MN 55422-2926 | NORTH MEMORIAL HEALTH CARE | |
| 2600 - 39th Ave Ne, Saint Anthony, MN 55421-4372 | 6127062900 | NORTH MEMORIAL HEALTH CARE |
| Organization Legal Name | NORTH MEMORIAL HEALTH CARE |
| Physicians | 548 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tammy M Danielson | Physician Assistant | North Memorial Health Care | 5615 Xerxes N Ave D, Brooklyn Center, MN 55430-2819 |
| Traci Roberts | Internal Medicine | North Memorial Health Care | 3300 Oakdale N Ave, Robbinsdale, MN 55422-2926 |
| Eucharia C Uche | Nurse Practitioner | North Memorial Health Care | 8200 42nd Ave N, New Hope, MN 55427-1100 |
| Kirstin Pfannenstein | Physician Assistant | North Memorial Health Care | 8559 Edinbrook Pkwy, Suite 100, Brooklyn Park, MN 55443-3728 |
| Jill L Titze | Nurse Practitioner | North Memorial Health Care | 3500 France Ave N, Suite 101, Robbinsdale, MN 55422-2809 |
| Rabia B Khan | Internal Medicine | North Memorial Health Care | 15535 - 34th Ave N, Plymouth, MN 55447-1481 |
| Farha S Khan | Endocrinology | North Memorial Health Care | 15450 Hwy 7 225, Minnetonka, MN 55345-3522 |
| Amy O Scheller | Physician Assistant | North Memorial Health Care | 2600 - 39th Ave Ne, St Anthony, MN 55421-4379 |
| Patrick D Loew | Physician Assistant | North Memorial Health Care | 12000 Elm Creek Blvd, Suite 130, Maple Grove, MN 55369-7073 |
| Kara M Hutton | Nurse Practitioner | North Memorial Health Care | 8301 Golden Valley Rd, Suite 100, Golden Valley, MN 55427-4469 |
| Street Address |
2600 - 39TH AVE NE |
| City | SAINT ANTHONY |
| State | MN |
| Zip | 55421-4372 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy O Scheller | Physician Assistant | North Memorial Health Care | 2600 - 39th Ave Ne, St Anthony, MN 55421-4379 |
| Gerald D Pitzl | Family Medicine | North Memorial Health Care | 2600 - 39th Ave Ne, St Anthony, MN 55421-4379 |
| Ronda S Bertsch | Physician Assistant | North Memorial Health Care | 2600 - 39th Ave Ne, St Anthony, MN 55421-4379 |
| Michael R Stoesz | Family Medicine | North Memorial Health Care | 2600 - 39th Ave Ne, St Anthony, MN 55421-4379 |
| Sarah B Ake | Physician Assistant | North Memorial Health Care | 2600 - 39th Ave Ne, St Anthony, MN 55421-4379 |
| Marvin A Brooks | Family Practice | North Memorial Health Care | 2600 - 39th Ave Ne, St Anthony, MN 55421-4379 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley K Ganser | Physician Assistant | Minuteclinic Diagnostic of Minnesota Pa | 755 53rd Ave Ne, Fridley, MN 55421-1240 |
| Rachael K Moberg | Physician Assistant | Minuteclinic Diagnostic of Minnesota Pa | 755 53rd Ave Ne, Fridley, MN 55421-1240 |
| Christina L Fjeld | Nurse Practitioner | Minuteclinic Diagnostic of Minnesota Pa | 755 53rd Ave Ne, Fridley, MN 55421-1240 |
| Diana M Tafur | Nurse Practitioner | Minuteclinic Diagnostic of Minnesota Pa | 755 53rd Ave Ne, Fridley, MN 55421-1240 |
| Brianna E Larson | Nurse Practitioner | Minuteclinic Diagnostic of Minnesota Pa | 755 53rd Ave Ne, Fridley, MN 55421-1240 |
| Meghabhuti Roth | Family Medicine | 5178 Central Ave Ne, Columbia Heights, MN 55421-1825 | |
| Andrew Carl Drier | Chiropractic | 4111 Central Ave Ne, Suite 105, Columbia Heights, MN 55421-2957 | |
| Wayne Michael Eck | Chiropractic | Heights Chiropractic Clinic Pa | 4111 Central Ave Ne, Suite 105, Columbia Heights, MN 55421-2957 |
| Brooke E Kern | Nurse Practitioner | Fairview Health Services | 4000 Central Ave Ne, Columbia Heights, MN 55421-2968 |
| Timothy A Eiesland | Clinical Social Worker | Fairview Health Services | 4000 Central Neave, Columbia Heights, MN 55421-2968 |
| Find all physicians in zip 55421 | |||
| City | SAINT ANTHONY |
| Zip Code | 55421 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SAINT ANTHONY + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jennifer P 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.