Douglas L Gray in Fort Wayne - Thoracic Surgery (cardiothoracic Vascular Surgery)
Douglas L Gray - NPI 1891787651
Douglas L Gray is a Thoracic Surgery (cardiothoracic Vascular Surgery) in Fort Wayne, Indiana. Douglas L Gray practices all healthcare services and medical treatments related to Thoracic Surgery (cardiothoracic Vascular Surgery). The NPI Number for Douglas L Gray is 1891787651. The last update date is 2022-10-07.
Douglas L Gray's current location address is 11108 Parkview Circle Dr, Fort Wayne, Indiana. You can contact this provider via phone number 2602662800 and fax number 2602662805. The mailing address for Douglas L Gray is 11108 Parkview Circle Dr, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas L Gray |
|---|---|
| Address | 11108 Parkview Circle Dr, Fort Wayne, Indiana |
| Phone Number | 2602662800 |
| Fax Number | 2602662805 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1891787651 |
|---|---|
| Provider Enumeration Date | 2005-08-18 |
| Last Updated Date | 2022-10-07 |
Provider Mailing Address Detail
| Address | 11108 Parkview Circle Dr |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468451730 |
| Phone Number | 2602662800 |
| Fax Number | 2602662805 |
Provider's Primary Taxonomy Detail
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
|---|---|
| Taxonomy | 208G00000X |
| Licence No | 01044841A |
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Definition: A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00664358 | IN | RAILROAD MEDICARE | |
| 60048219 | IN | RAILROAD MEDICARE | |
| 200178590 | IN | -- | |
| 595620 | IN | ANTHEM |
Post Comment/ Review Below
What is the unique provider identifier assigned to Douglas L Gray?
The Douglas L Gray has been issued the NPI (National Provider Identifier) 1891787651 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Douglas L Gray?
The Douglas L Gray is situated at 11108 Parkview Circle Dr, in the city of Fort Wayne, state of IN, with the zip code 468451730.
What is Douglas L Gray's area of expertise and its corresponding taxonomy classification?
The Douglas L Gray's field of specialization is Thoracic Surgery (cardiothoracic Vascular Surgery), and it falls under the taxonomy code 208G00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1891787651 to Douglas L Gray?
The Centers for Medicare & Medicaid Services originally issued the 1891787651 to Douglas L Gray on 2005-08-18.
When was the information regarding Douglas L Gray, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Douglas L Gray, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-10-07.
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