Jason Donald Gray (NPI# 1477585396, PAC ID# 7517993108) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1477585396 |
| PAC ID by PECOS | 7517993108 |
| Professional Enrollment ID | I20050714000855 |
| Full Name | Jason Donald Gray |
| Organization Legal Name | BAKER FOOT SOLUTIONS CORP |
| Address |
1622 N Madison Ave Community Foot and Ankle Center Anderson IN 46011-2130 |
| Phone Number | 7656410001 |
| Gender | M |
| Credential | DPM |
| Medical School | DR. WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 0840242236 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150113 | COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY |
| 150030 | HENRY COUNTY MEMORIAL HOSPITAL |
| 150074 | COMMUNITY HOSPITAL EAST |
| 150011 | MARION GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1622 N Madison Ave, Community Foot and Ankle Center, Anderson, IN 46011-2130 | 7656410001 | BAKER FOOT SOLUTIONS CORP |
| 330 N Wabash Ave, Suite 460a, Marion, IN 46952-2685 | 7656641413 | BAKER FOOT SOLUTIONS CORP |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | BAKER FOOT SOLUTIONS CORP |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory Waldren Boake | Podiatry | Baker Foot Solutions Corp | 1622 N Madison Ave, Community Foot and Ankle Center, Anderson, IN 46011-2130 |
| Michael James Baker | Podiatry | Baker Foot Solutions Corp | 1622 N Madison Ave, Community Foot and Ankle Center, Anderson, IN 46011-2130 |
| Jessica Ruth Taulman-young | Podiatry | Baker Foot Solutions Corp | 1622 N Madison Ave, Community Foot and Ankle Center, Anderson, IN 46011-2130 |
| Tiffany Truong Koch | Podiatry | Baker Foot Solutions Corp | 1622 N Madison Ave, Community Foot and Ankle Center, Anderson, IN 46011-2130 |
| Street Address |
1622 N MADISON AVE COMMUNITY FOOT AND ANKLE CENTER |
| City | ANDERSON |
| State | IN |
| Zip | 46011-2130 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory Waldren Boake | Podiatry | Baker Foot Solutions Corp | 1622 N Madison Ave, Community Foot and Ankle Center, Anderson, IN 46011-2130 |
| Michael James Baker | Podiatry | Baker Foot Solutions Corp | 1622 N Madison Ave, Community Foot and Ankle Center, Anderson, IN 46011-2130 |
| Jessica Ruth Taulman-young | Podiatry | Baker Foot Solutions Corp | 1622 N Madison Ave, Community Foot and Ankle Center, Anderson, IN 46011-2130 |
| Tiffany Truong Koch | Podiatry | Baker Foot Solutions Corp | 1622 N Madison Ave, Community Foot and Ankle Center, Anderson, IN 46011-2130 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ericka Etherington | Nurse Practitioner | Community Physicians of Indiana Inc | 1340 N Madison Ave, Community Regional Cancer Center, Anderson, IN 46011-1216 |
| Jennifer E Fisher | Radiation Oncology | Community Physicians of Indiana Inc | 1340 N Madison Ave, Community Regional Cancer Center, Anderson, IN 46011-1216 |
| Tracy R Price | Radiation Oncology | Community Physicians of Indiana Inc | 1340 N Madison Ave, Community Regional Cancer Center, Anderson, IN 46011-1216 |
| Shih J Wei | Radiation Oncology | Community Physicians of Indiana Inc | 1340 N Madison Ave, Community Regional Cancer Center, Anderson, IN 46011-1216 |
| Ami E Rice | Obstetrics/gynecology | Midwest Dysphagia Consultants LLC | 1809 N Madison Ave, Anderson, IN 46011-2145 |
| David F Box | Ophthalmology | Midwest Dysphagia Consultants LLC | 1809 N Madison Ave, Anderson, IN 46011-2145 |
| Jennifer Stiglitz-monroe | Qualified Audiologist | Sherry Hodge Au.d., LLC | 1827 N Madison Ave C, Advanced Hearing Care, Anderson, IN 46011-2148 |
| Sherry L Hodge | Qualified Audiologist | Sherry Hodge Au.d., LLC | 1827 N Madison Ave C, Advanced Hearing Care, Anderson, IN 46011-2148 |
| Melissa Ann Matthews | Nurse Practitioner | Community Physicians of Indiana Inc | 1130 Medical Arts Blvd, Suite 250, Anderson, IN 46011-3431 |
| Raja Sekar Mittapalli | Obstetrics/gynecology | Community Physicians of Indiana Inc | 1130 Medical Arts Blvd, Suite 250, Anderson, IN 46011-3431 |
| Find all physicians in zip 46011 | |||
| City | ANDERSON |
| Zip Code | 46011 |
| Specialty | PODIATRY |
| City + Specialty | ANDERSON + 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.