NPIMap

Individual provider Active NPI

Terence Gray, DO

  • Specialist
  • Scarborough, ME
National Provider Identifier
1588604698
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
042675 Issued in CT
Practice address
400 Enterprise Dr Ste 101
Scarborough, ME 04074-7662
Phone
(207) 289-6726
Fax
(207) 289-1219
NPI assigned
Jun 7, 2006
Last updated
Sep 25, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 042675 CT Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X 210744 MA

Addresses

Primary practice location

400 Enterprise Dr Ste 101
Scarborough, ME 04074-7662

Mailing address

17 Channel View Rd
Cape Elizabeth, ME 04107-2929
Phone (860) 944-4708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130916000057 ME Practitioner - Interventional Pain ManagementPractitioner - Pain ManagementPractitioner - Anesthesiology 9436118692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Pain Management
Education
University of New England, College of Osteo Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maine Comprehensive Pain Management PCGroup PAC ID 8123367687, 2 clinicians

Practice addresses (Care Compare)

400 Enterprise Dr
Suite 101
Scarborough, ME 04074-7662
Phone (207) 289-6726

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
210744MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Comprehensive Pain Management, PC CurrentSince Jun 30, 2018 Accepting new patients
Milford Anesthesia Associates LLC PastSince Sep 25, 2019 Accepting new patients

Locations

400 Enterprise Dr
Ste 101
Scarborough, ME 04074
Phone (207) 289-6726

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18448/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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

Hospital & facility affiliations 36

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1588604698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 CHANNEL VIEW RD",
            "city": "CAPE ELIZABETH",
            "state": "ME",
            "postal_code": "041072929",
            "telephone_number": "860-944-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ENTERPRISE DR STE 101",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747662",
            "telephone_number": "207-289-6726",
            "fax_number": "207-289-1219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "TERENCE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "042675",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MA",
            "license": "210744",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

Verify at the official NPI Registry.