Heather Marie Gray (NPI# 1619103314, PAC ID# 3971767179) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1619103314 |
| PAC ID by PECOS | 3971767179 |
| Professional Enrollment ID | I20120620000375 |
| Full Name | Heather Marie Gray |
| Organization Legal Name | WEST CENTRAL OHIO PODIATRY INC |
| Address |
1138 W High St Lima OH 45805-2725 |
| Phone Number | 4192252726 |
| Gender | F |
| Medical School | OHIO COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 4486698776 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360066 | ST RITA'S MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1138 W High St, Lima, OH 45805-2725 | 4192252726 | WEST CENTRAL OHIO PODIATRY INC |
| Organization Legal Name | WEST CENTRAL OHIO PODIATRY INC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennalee Marie Rauh | Podiatry | West Central Ohio Podiatry Inc | 1138 W High St, Lima, OH 45805-2725 |
| Shawn C Ward | Podiatry | West Central Ohio Podiatry Inc | 1138 W High St, Lima, OH 45805-2725 |
| Alison Renee Niemeyer | Podiatry | West Central Ohio Podiatry Inc | 1138 W High St, Lima, OH 45805-2725 |
| Street Address |
1138 W HIGH ST |
| City | LIMA |
| State | OH |
| Zip | 45805-2725 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennalee Marie Rauh | Podiatry | West Central Ohio Podiatry Inc | 1138 W High St, Lima, OH 45805-2725 |
| Shawn C Ward | Podiatry | West Central Ohio Podiatry Inc | 1138 W High St, Lima, OH 45805-2725 |
| Alison Renee Niemeyer | Podiatry | West Central Ohio Podiatry Inc | 1138 W High St, Lima, OH 45805-2725 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darryl M Haycock | Podiatry | 2311 Baton Rouge, Lima, OH 45805-1129 | |
| Mary Shenouda | Ophthalmology | Advanced Vision Care, Inc | 2300 Baton Rouge, Lima, OH 45805-1130 |
| Michael T Craig | Ophthalmology | Advanced Vision Care, Inc | 2300 Baton Rouge, Lima, OH 45805-1130 |
| Michael Griffith | Psychologist, Clinical | 3000 Elida Rd, Suite 2, Lima, OH 45805-1232 | |
| Michael Fishbaugh Jr. | Optometry | Michael A. Fishbaugh Jr. O.d. Inc. | 1301 N Cable Rd, Lima, OH 45805-1407 |
| Amy L Bankey | Optometry | Michael A. Fishbaugh Jr. O.d. Inc. | 1301 N Cable Rd, Lima, OH 45805-1407 |
| Ashley Nicole Schoenherr | Optometry | Michael A. Fishbaugh Jr. O.d. Inc. | 1301 N Cable Rd, Lima, OH 45805-1407 |
| John Gillis | Chiropractic | 1905 Latham Ave, Lima, OH 45805-1637 | |
| Matthew P Ziccardi | Clinical Psychologist | 1045 Mackenzie Dr, Lima, OH 45805-1660 | |
| Omar A Sweidan | Optometry | 2155 Allentown Rd, Lima, OH 45805-1705 | |
| Find all physicians in zip 45805 | |||
| City | LIMA |
| Zip Code | 45805 |
| Specialty | PODIATRY |
| City + Specialty | LIMA + PODIATRY |
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| 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.