Cynthia D Gray MD PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

601876770 Issued in WA

Legal business name

CYNTHIA D GRAY MD PC

Practice address

2101 NE 139TH St Ste 285
Vancouver, WA 98686-2326

Phone

(360) 892-0096

Fax

(360) 892-1962

NPI assigned

Dec 13, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Cynthia Dee Gray, MD PC

Title

Owner

Phone

(360) 892-0096

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1477097251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 NE 139TH ST STE 285",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986862326",
            "telephone_number": "360-892-0296",
            "fax_number": "360-892-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 NE 139TH ST STE 285",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986862326",
            "telephone_number": "360-892-0096",
            "fax_number": "360-892-1962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA D GRAY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-13",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "DEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-892-0096",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PC"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "WA",
            "license": "601876770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger Enrique Cutino
• Lauren Cutright, LMHC
• Teresa K Cuykendall, LMP
• Jaroslaw Cymorek, MD
• Sheila Lee Cynkar, M.S., CCC-SLP
• Sandra Jean Cyr, LMP
• Nicole Marie Czech, DC
• Theresa D'Ettorre, MD
• Brianna Alison Da Silva Bhatia, MD
• Constance Sue Dada, RN

• All providers in Vancouver, WA
• Medical Specialty Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.