Organization Active NPI

Grayco Medical

  • Durable Medical Equipment & Medical Supplies
  • Brunswick, OH
National Provider Identifier
1326217530
Registry record updated Mar 5, 2010
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Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
GRAYCO MEDICAL
Practice address
3770 Heinly CT
Brunswick, OH 44212-4441
Phone
(216) 570-2405
Fax
(330) 225-6535
NPI assigned
Feb 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2010

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

Authorized official

Name
Mrs. Jacqueline L Gray
Title
Owner
Phone
(216) 570-2405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3770 Heinly CT
Brunswick, OH 44212-4441

Mailing address

PO Box 1343
Brunswick, OH 44212-8843
Phone (216) 570-2405

Other identifiers 1

IdentifierTypeStateIssuer
2858224MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267747200000",
    "number": "1326217530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1343",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442128843",
            "telephone_number": "216-570-2405",
            "fax_number": "330-225-6535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3770 HEINLY CT",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442124441",
            "telephone_number": "216-570-2405",
            "fax_number": "330-225-6535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAYCO MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2010-03-05",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-570-2405",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2858224",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2010; 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.