Organization Active NPI

Anthony C Gray Sr LLC

  • Certified Registered Nurse Anesthetist
  • Gainesville, FL
National Provider Identifier
1437348307
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP1984732 Issued in FL
Legal business name
ANTHONY C GRAY SR LLC
Practice address
2521 NW 41St St
Gainesville, FL 32606-6630
Phone
(352) 377-7733
NPI assigned
Oct 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Authorized official

Name
Mr. Anthony C Gray Sr., CRNA
Title
President
Phone
(352) 332-3306

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X ARNP1984732 FL Primary

Addresses

Primary practice location

2521 NW 41St St
Gainesville, FL 32606-6630

Mailing address

2521 NW 41St St
Gainesville, FL 32606-6630
Phone (352) 377-7733

Other identifiers 1

IdentifierTypeStateIssuer
G1512OtherBCBS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1437348307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 NW 41ST ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066630",
            "telephone_number": "352-377-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 NW 41ST ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066630",
            "telephone_number": "352-377-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY C GRAY SR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-332-3306",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP1984732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "G1512",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.