Jonathan R Gray (NPI# 1508048521, PAC ID# 5597933358) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
| Nation Provider ID (NPI) | 1508048521 |
| PAC ID by PECOS | 5597933358 |
| Professional Enrollment ID | I20110721000417 |
| Full Name | Jonathan R Gray |
| Organization Legal Name | FACE AND JAW SURGEONS PC |
| Address |
4344 20th Ave S Suite 2 Fargo ND 58103-7436 |
| Phone Number | 7012395969 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTHERN CALIFORNIA SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | ORAL SURGERY |
| Secondary Specialties | MAXILLOFACIAL SURGERY |
| Group Practice PAC ID | 1153311881 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4344 20th Ave S, Suite 2, Fargo, ND 58103-7436 | 7012395969 | FACE AND JAW SURGEONS PC |
| 2845 36th Ave S, Grand Forks, ND 58201-3574 | 7017754444 | FACE AND JAW SURGEONS PC |
| Organization Legal Name | FACE AND JAW SURGEONS PC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremiah J Glosenger | Oral Surgery | Face and Jaw Surgeons PC | 2615 Elk Dr, Suite 3, Minot, ND 58701-1200 |
| Joseph R Deatherage | Oral Surgery | Face and Jaw Surgeons PC | 1730 Burnt Boat Dr, Suite 300, Bismarck, ND 58503-0886 |
| Omar C Chahal | Oral Surgery | Face and Jaw Surgeons PC | 2845 36th Ave S, Grand Forks, ND 58201-3574 |
| Preston A Gomez | Oral Surgery | Face and Jaw Surgeons PC | 1730 Burnt Boat Dr, Suite 300, Bismarck, ND 58503-0886 |
| Tuan G Bui | Maxillofacial Surgery | Face and Jaw Surgeons PC | 4344 20th Ave S, Suite 2, Fargo, ND 58103-7436 |
| Charles A Crago | Maxillofacial Surgery | Face and Jaw Surgeons PC | 4344 20th Ave S, Suite 2, Fargo, ND 58103-7436 |
| Michael R Knoll | Oral Surgery | Face and Jaw Surgeons PC | 1730 Burnt Boat Dr, Suite 300, Bismarck, ND 58503-0886 |
| Street Address |
4344 20TH AVE S SUITE 2 |
| City | FARGO |
| State | ND |
| Zip | 58103-7436 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tuan G Bui | Maxillofacial Surgery | Face and Jaw Surgeons PC | 4344 20th Ave S, Suite 2, Fargo, ND 58103-7436 |
| Charles A Crago | Maxillofacial Surgery | Face and Jaw Surgeons PC | 4344 20th Ave S, Suite 2, Fargo, ND 58103-7436 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary E Johnson | Optometry | Mark Tufte Od PC | 1801 45th St S, Suite G, Fargo, ND 58103-0801 |
| Mark G Tufte | Optometry | Mark Tufte Od PC | 1801 45th St S, Suite G, Fargo, ND 58103-0801 |
| Anthony Heath Charbonneau | Physical Therapy | Total Balance Physical Therapy and Fitness LLC | 4041 Main Ave, Fargo, ND 58103-1145 |
| Scott B Phillips | Neurosurgery | Sanford Medical Center Fargo | 700 1st Ave S, Fargo, ND 58103-1802 |
| Marcus F Keep | Neurosurgery | Sanford Medical Center Fargo | 700 1st Ave S, Fargo, ND 58103-1802 |
| Behzad S Sabit | Neurosurgery | Sanford Medical Center Fargo | 700 1st Ave S, Fargo, ND 58103-1802 |
| Abdul A Baker | Neurosurgery | Sanford Clinic North | 700 1st Ave S, Fargo, ND 58103-1802 |
| Michael David Manchak | Neurology | Sanford Medical Center Fargo | 700 1st Ave S, Fargo, ND 58103-1802 |
| Tahereh Keshavarz | Physician Assistant | Sanford Medical Center Fargo | 700 1st Ave S, Fargo, ND 58103-1802 |
| Tong Yang | Neurosurgery | Sanford Medical Center Fargo | 700 1st Ave S, Fargo, ND 58103-1802 |
| Find all physicians in zip 58103 | |||
| City | FARGO |
| Zip Code | 58103 |
| Specialty | ORAL SURGERY |
| City + Specialty | FARGO + ORAL SURGERY |
Please comment or provide details below to improve the information on Jonathan R 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.