John H Gray DO Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34003191 Issued in OH

Legal business name

JOHN H GRAY DO INC

Practice address

3600 Kolbe Rd
Suite 210
Lorain, OH 44053-1654

Phone

(440) 960-7474

Fax

(440) 960-0225

NPI assigned

Sep 11, 2007

Organization subpart

No

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

Authorized official

Name

John H Gray, DO

Title

Owner/Provider

Phone

(440) 960-7474

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262649600000",
    "number": "1386839413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 KOLBE RD",
            "address_2": "SUITE 210",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440531654",
            "telephone_number": "440-960-7474",
            "fax_number": "440-960-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 KOLBE RD",
            "address_2": "SUITE 210",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440531654",
            "telephone_number": "440-960-7474",
            "fax_number": "440-960-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN H GRAY DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2010-01-05",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "440-960-7474",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34003191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0507286",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Desiree Marie Jewells
• Dorothea Latoya Jewells
• Gabriela Jimenez Ramirez
• Jahaira Jimenez
• Kristeena Jimenez
• John Otoole MD Inc
• Charneshia Johnson
• Jacqueline M Johnson, LPN
• Jason Johnson
• Leah Johnson, CT

• Family Medicine Physician in Lorain, OH
• Providers in Lorain, OH by specialty
• Family Medicine Physician in Ohio

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