Pamela Jean Gray, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

40454020 Issued in WI

Practice address

University of Wisconsin Eau Claire Student Health Serv
Crest Wellness Center
Eau Claire, WI 54701

Phone

(715) 836-4311

Fax

(715) 836-5979

NPI assigned

Sep 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235234238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4004",
            "address_2": "STUDENT HEALTH SERVICE UW EAU CLAIRE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547024004",
            "telephone_number": "715-836-4311",
            "fax_number": "715-836-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF WISCONSIN EAU CLAIRE STUDENT HEALTH SERV",
            "address_2": "CREST WELLNESS CENTER",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "54701",
            "telephone_number": "715-836-4311",
            "fax_number": "715-836-5979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "PAMELA",
        "middle_name": "JEAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "40454020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy James Gouker
• Grace Grambort, LPC-IT, SAC-IT
• Grand Hearing Centers, LLC (Sears Miracle Ear Centers)
• Garry Andrew Grant, M.S., A.T.C., CSCS
• Leah Marie Gray, MS, LPC
• Robert G Grayson, DDS
• Marcus Greatens, MD
• Paul William Green, MD
• Paul F Greene, P.T.
• Miles Greenlee

• Family Medicine Physician in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.