Gary D Gray (NPI# 1497729826, PAC ID# 5294832390) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1497729826 |
| PAC ID by PECOS | 5294832390 |
| Professional Enrollment ID | I20070524000580 |
| Full Name | Gary D Gray |
| Organization Legal Name | INTERNAL MEDICINE AT WINGHAVEN, LLC |
| Address |
5551 Winghaven Blvd Suite 290 Ofallon MO 63368-3629 |
| Phone Number | 6366952575 |
| Gender | M |
| Credential | MD |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 6406018605 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260179 | ST LUKES HOSPITAL |
| 260020 | MERCY HOSPITAL ST LOUIS |
| Address | Phone | Organization |
|---|---|---|
| 5551 Winghaven Blvd, Suite 290, Ofallon, MO 63368-3629 | 6366952575 | INTERNAL MEDICINE AT WINGHAVEN, LLC |
| Organization Legal Name | INTERNAL MEDICINE AT WINGHAVEN, LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gina M Schnurbusch | Nurse Practitioner | Internal Medicine At Winghaven, LLC | 5551 Winghaven Blvd, Suite 290, Ofallon, MO 63368-3629 |
| Leanne Watson-ficken | Internal Medicine | Internal Medicine At Winghaven, LLC | 5551 Winghaven Blvd, Suite 290, Ofallon, MO 63368-3629 |
| Street Address |
5551 WINGHAVEN BLVD SUITE 290 |
| City | OFALLON |
| State | MO |
| Zip | 63368-3629 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phann D Vu | Podiatry | 5551 Winghaven Blvd, Suite 280, O Fallon, MO 63368-3629 | |
| Brandon T Jackson | Chiropractic | 5551 Winghaven Blvd, Suite 20, O Fallon, MO 63368-3618 | |
| Naman A Ghazal Albar | Endocrinology | 5551 Winghaven Blvd, Ste260 Winghaven, O Fallon, MO 63368-3630 | |
| Karen E Brautigam | Nurse Practitioner | Tri-county Family Practice, LLC | 5551 Winghaven Blvd, Suite 142, O Fallon, MO 63368-3618 |
| Heather M Quist | Nurse Practitioner | Tri-county Family Practice, LLC | 5551 Winghaven Blvd, Suite 142, O Fallon, MO 63368-3618 |
| Gina M Schnurbusch | Nurse Practitioner | Internal Medicine At Winghaven, LLC | 5551 Winghaven Blvd, Suite 290, Ofallon, MO 63368-3629 |
| Garrett R Jackson | Chiropractic | 5551 Winghaven Blvd, Suite 20, O Fallon, MO 63368-3618 | |
| Megan Nichoalds | Nurse Practitioner | Tri-county Family Practice, LLC | 5551 Winghaven Blvd, Suite 142, O Fallon, MO 63368-3618 |
| Laura I Moore | Obstetrics/gynecology | Obstetrical Associates of St Louis Inc | 5551 Winghaven Blvd, Suite 270, O Fallon, MO 63368-3629 |
| Leanne Watson-ficken | Internal Medicine | Internal Medicine At Winghaven, LLC | 5551 Winghaven Blvd, Suite 290, Ofallon, MO 63368-3629 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Austin F Clark | Physical Therapy | Prorehab PC | 951 Waterbury Falls Dr, O Fallon, MO 63368-2202 |
| Jeffrey S Swank | Physical Therapy | Prorehab PC | 951 Waterbury Falls Dr, O Fallon, MO 63368-2202 |
| Benjamin L Schaub | Physical Therapy | Prorehab PC | 951 Waterbury Falls Dr, O Fallon, MO 63368-2202 |
| Donald T Thorsen | Occupational Therapy | Prorehab PC | 951 Waterbury Falls Dr, O Fallon, MO 63368-2202 |
| Theodore S Rummel | Orthopedic Surgery | Piper Spine Care, PC | 2 Progress Point Pkwy, O Fallon, MO 63368-2205 |
| Michelle L Maloney | Nurse Practitioner | Physician Groups Lc | 20 Progress Point Pkwy, Suite 206, O Fallon, MO 63368-2207 |
| Brian Grus | Internal Medicine | Physician Groups Lc | 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 |
| Gloria Michelle P Edacheril | Nurse Practitioner | Physician Groups Lc | 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 |
| Bridget Doerr | Nurse Practitioner | Physician Groups Lc | 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 |
| Genevieve Catherine Matthews | Internal Medicine | Physician Groups Lc | 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 |
| Find all physicians in zip 63368 | |||
| City | OFALLON |
| Zip Code | 63368 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | OFALLON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Gary D 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.