Jason D Gray is a Foot & Ankle Surgery in Marion, Indiana. Jason D Gray practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Jason D Gray is 1477585396. The last update date is 2021-02-09.
Jason D Gray's current location address is 330 N Wabash Ave Ste 460a, Marion, Indiana. You can contact this provider via phone number 7656641413 and fax number 7656642836. The mailing address for Jason D Gray is 330 N Wabash Ave Ste 460a, Marion, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason D Gray |
|---|---|
| Address | 330 N Wabash Ave Ste 460a, Marion, Indiana |
| Phone Number | 7656641413 |
| Fax Number | 7656642836 |
| Sole Proprietor | N |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1477585396 |
|---|---|
| Provider Enumeration Date | 2006-07-07 |
| Last Updated Date | 2021-02-09 |
Provider Mailing Address Detail
| Address | 330 N Wabash Ave Ste 460a |
|---|---|
| City | Marion |
| State | Indiana (IN) |
| Post Code | 469522685 |
| Phone Number | 7656641413 |
| Fax Number | 7656642836 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | 07000998A |
|
Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5324290006 | DME MC | ||
| 200535890 | IN | -- | |
| 5324290003 | DME ES | ||
| 532490004 | DME BR | ||
| 5324290007 | DME WV | ||
| 5324290008 | DME FC | ||
| 4324290005 | DME AC | ||
| P00219222 | RR MEDICARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jason D Gray?
The Jason D Gray has been issued the NPI (National Provider Identifier) 1477585396 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Jason D Gray's physical address?
The Jason D Gray is physically located at 330 N Wabash Ave Ste 460A, in the city of Marion, IN, with the postal code 469522685.
What is the Jason D Gray's area of specialization and corresponding taxonomy classification?
The Jason D Gray's specialty field is Foot & Ankle Surgery, and it falls under the taxonomy code 213Es0103X, which categorizes healthcare providers based on their specialties.
On what date did the Jason D Gray receive the assignment of its 1477585396 from the Centers for Medicare & Medicaid Services?
The Jason D Gray was issued its 1477585396 by the Centers for Medicare & Medicaid Services on 2006-07-07.
When was the Jason D Gray's information last updated?
The Jason D Gray's information was last updated on 2021-02-09.
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