Peter Lynn Gray, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA318 Issued in OK

Practice address

1122 NE 13TH St
Ori 236
Oklahoma City, OK 73117-1039

Phone

(405) 271-7559

Fax

(405) 271-3248

NPI assigned

Aug 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Abbott Dermatology P C

  • Dermatopathology Physician
  • Oklahoma City, OK
  • NPI 1982658167
  NPD
• Oklahoma Otolaryngology Associates, LLC

  • Specialist
  • Oklahoma City, OK
  • NPI 1124118773
  NPD (past)
• Oklahoma Otolaryngology Hearing Center Inc

  • Audiologist
  • Edmond, OK
  • NPI 1356788954
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1528077716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 S WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731092413",
            "telephone_number": "405-632-5565",
            "fax_number": "405-632-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 NE 13TH ST",
            "address_2": "ORI 236",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731171039",
            "telephone_number": "405-271-7559",
            "fax_number": "405-271-3248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "PETER",
        "middle_name": "LYNN",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "PA318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laswanique Gray, MPH, CHES
• Lindsay Gray
• Matthew Gray, PT, DPT
• Melissa June Gray, PTA
• Paul Lawrence Gray, DPH
• Ronda C. Gray, CRC, CMS-CHT
• Sheridan Ann Gray, MS, CF-SLP
• Shyvonne Nashelle-Ruth Gray, MD
• Susan Louise Gray, SPEECH PATHOLOGIST
• Zoe Gray

• Medical Physician Assistant in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Medical Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.