Lawrence Keith Gray, MD

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

35048187G Issued in OH

Practice address

3 Merit Drive
Richmond HTS, OH 44143

Phone

(216) 261-1500

Fax

(216) 261-8970

NPI assigned

Nov 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cleveland Geriatrics Inc

  • Geriatric Medicine (Internal Medicine) Physician
  • Richmond HTS, OH
  • NPI 1558550434
  NPD (past) Authorized official

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216771200000",
    "number": "1285707521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 BURLINGTON RD",
            "city": "CLEVELAND HTS",
            "state": "OH",
            "postal_code": "441181261",
            "telephone_number": "216-261-1500",
            "fax_number": "216-261-8970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MERIT DRIVE",
            "city": "RICHMOND HTS",
            "state": "OH",
            "postal_code": "44143",
            "telephone_number": "216-261-1500",
            "fax_number": "216-261-8970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "LAWRENCE",
        "middle_name": "KEITH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2008-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "35048187G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0697321",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000277964",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Verenda Deon Evans, LPN
• Stanley Lowell Fox, M.D.
• Anita M. Fulton, LPTA
• Katrina Laverne Gardner, INDEPENDANT PROVIDER
• Gifted Minds LLC
• Greenwood Healthare
• Chiquita Griffin, RN
• Denise D Hall
• William Hansford
• Erica L Hawkins, LSW

• Geriatric Medicine (Internal Medicine) Physician in Richmond HTS, OH
• Providers in Richmond HTS, OH by specialty
• Geriatric Medicine (Internal Medicine) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.