Captain Gray (NPI# 1861451346, PAC ID# 5890738751) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1861451346 |
| PAC ID by PECOS | 5890738751 |
| Professional Enrollment ID | I20170330000408 |
| Full Name | Captain Gray |
| Organization Legal Name | MISSOURI PHLEBOLOGY INC |
| Address |
9501 N Oak Tfwy 280 N Oak Medical Building Iv Vein Clinics of America Kansas City MO 64155-2256 |
| Phone Number | 8164367373 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 1975 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 3779583174 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4001 Long Prairie Rd, Suite 105, Flower Mound, TX 75028-1565 | 9728743900 | TEXAS PHLEBOLOGY PA |
| 4001 Long Prairie Rd, Flower Mound, TX 75028-1565 | 9728743900 | TEXAS PHLEBOLOGY PA |
| 9501 N Oak Tfwy 280 N Oak Medical Building Iv, Vein Clinics of America, Kansas City, MO 64155-2256 | 8164367373 | MISSOURI PHLEBOLOGY INC |
| 9501 N Oak Tfwy 280 N Oak Medical Building Iv, Kansas City, MO 64155-2256 | 8164367373 | MISSOURI PHLEBOLOGY INC |
| 10777 Nall Ave, Suite 315, Overland Park, KS 66211-1346 | 9133452622 | KANSAS CITY PHLEBOLOGY MEDICAL GROUP PA |
| 10777 Nall Ave, Overland Park, KS 66211-1346 | 9133452622 | KANSAS CITY PHLEBOLOGY MEDICAL GROUP PA |
| 6149 Windhaven Pkwy, Plano, TX 75093-8298 | 9728811320 | TEXAS PHLEBOLOGY PA |
| 6149 Windhaven Pkwy, Suite 130, Plano, TX 75093-8298 | 9728811320 | TEXAS PHLEBOLOGY PA |
| Organization Legal Name | MISSOURI PHLEBOLOGY INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert J Anderson | Vascular Surgery | Missouri Phlebology Inc | 9501 N Oak Tw, Suite 201, Kansas City, MO 64155-2256 |
| Street Address |
9501 N OAK TFWY 280 N OAK MEDICAL BUILDING IV VEIN CLINICS OF AMERICA |
| City | KANSAS CITY |
| State | MO |
| Zip | 64155-2256 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Joseph Cascone | Internal Medicine | Barnes Health Care Management Group LLC | 11071 N Woodland Ave, Benton House of Staley Hill, Kansas City, MO 64155-1152 |
| Janet Y James | Nurse Practitioner | Meritas Health Corporation | 9411 N Oak Trafficway, 205 Meritas Health Endocrinology, Kansas City, MO 64155-2229 |
| Robert J Anderson | Vascular Surgery | Missouri Phlebology Inc | 9501 N Oak Tw, Suite 201, Kansas City, MO 64155-2256 |
| Lisa J Schuster | Qualified Audiologist | Meritas Health Corporation | 9411 N Oak Trafficway, Suite 202, Kansas City, MO 64155-2262 |
| David E Wilson | Family Medicine | 9411 N Oak Trfy, Suite 280, Kansas City, MO 64155-2262 | |
| Steven R Ballard | Family Medicine | Gashland Clinic Physicians Inc | 9411 N Oak Trfy, Suite 100, Kansas City, MO 64155-2262 |
| Michael J Dibernardo | Family Medicine | Gashland Clinic Physicians Inc | 9411 N Oak Trfy, Suite 100, Kansas City, MO 64155-2262 |
| Stephanie Haupt | Family Medicine | Gashland Clinic Physicians Inc | 9411 N Oak Trfy, Suite 100, Kansas City, MO 64155-2262 |
| David Mccormick | Family Medicine | Gashland Clinic Physicians Inc | 9411 N Oak Trfy, Suite 100, Kansas City, MO 64155-2262 |
| Samantha Marie Fawcett | Family Medicine | Gashland Clinic Physicians Inc | 9411 N Oak Trfy, Suite 100, Kansas City, MO 64155-2262 |
| Find all physicians in zip 64155 | |||
| City | KANSAS CITY |
| Zip Code | 64155 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | KANSAS CITY + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Captain 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.