Active NPI
Grayco Medical
- Durable Medical Equipment & Medical Supplies
- Brunswick, OH
National Provider Identifier
1326217530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2858224 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI 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.