Lauren A Gray, D.O.
Individual provider Active NPI Family Medicine Physician · Philomath, OR
NPI 1306089263 · NPPES record last updated Jul 3, 2012
Key facts
- NPI
- 1306089263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- DO158032 (OR)
- Practice address
- 1219 Applegate St
Philomath, OR 97370-2031 - Phone
- (541) 754-1150
- NPI assigned
- Apr 8, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 52
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of North Texas HSC, College of Osteopathic Med, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Corvallis Clinic P C
Practice addresses (Care Compare)
3680 NW Samaritan Dr
Corvallis, OR 97330-3737
Phone (541) 754-1150
500 Main St
Philomath, OR 97370-9707
Phone (541) 750-6208
Hospital & facility affiliations
- Signature Healthcare at Home
- Good Samaritan Regional Medical Center
- Samaritan Pacific Community Hospital
- Samaritan Albany General Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120914000073 | OR | Practitioner - Family Practice | 5496903569 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Corvallis Clinic P C | Current |
Accepting new patients |
Locations
444 NW Elks Dr
Corvallis, OR 97330
Phone (541) 754-1256
3680 NW Samaritan Dr
Corvallis, OR 97330
Phone (541) 754-1282
500 Main St
Philomath, OR 97370
Phone (541) 609-4071
Interoperability endpoints
- lauren.gray.1@14349.direct.athenahealth.com
- https://api.platform.athenahealth.com/14349/brand/4/csg/42/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | DO158032 | OR | Yes |
Addresses
Primary practice location
1219 Applegate St
Philomath, OR 97370-2031
Mailing address
444 NW Elks Dr
Corvallis, OR 97330-3745
Phone (541) 754-1150
Other providers in Philomath, OR
- Ulrike Marianne Fleck
- Geoffrey C. Fletcher
- Shawn J Foley
- Emily Rose Franchock
- Glasridge Ventures, LLC
- Jeanne A. Gregg
- Janda Anita Grigsby
- Sophie Grow
- David R Grube
- Andrew Halstead
All providers in Philomath, OR · Family Medicine Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.