Northern Plains Family Medicine and Behavioral Health, P.C.

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

NORTHERN PLAINS FAMILY MEDICINE AND BEHAVIORAL HEALTH, P.C.

Practice address

343 3Rd St
International Falls, MN 56649-2321

Phone

(218) 208-3668

Fax

(888) 972-4098

NPI assigned

Jul 10, 2012

Organization subpart

No

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

Authorized official

Name

Scharazard Lee Gray, M.D.NPI 1447332895

Title

Physician/Owner

Phone

(218) 208-3668

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND, MN2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scharazard Lee Gray, M.D.

  • Addiction Medicine (Family Medicine) Physician
  • International Falls, MN
  • NPI 1447332895

  ND

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650326400000",
    "number": "1588929004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3039 COUNTY ROAD 127",
            "city": "INTERNATIONAL FALLS",
            "state": "MN",
            "postal_code": "566498724",
            "telephone_number": "218-208-3668",
            "fax_number": "888-972-4098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 3RD ST",
            "city": "INTERNATIONAL FALLS",
            "state": "MN",
            "postal_code": "566492321",
            "telephone_number": "218-208-3668",
            "fax_number": "888-972-4098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3039 County Road 127",
            "address_purpose": "LOCATION",
            "city": "International Falls",
            "state": "MN",
            "postal_code": "566498724",
            "country_code": "US",
            "telephone_number": "218-208-3668",
            "fax_number": "888-972-4098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHERN PLAINS FAMILY MEDICINE AND BEHAVIORAL HEALTH, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-10",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "SCHARAZARD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "218-208-3668",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Meyers
• Rebecca Nelson, CCC-SLP
• Luke A. Nemec, DC
• Emily Michelle Nicholson, PA
• Aaron Nordrum, LMFT
• Northland Counseling Center Kooch Office
• Northland Counseling Center, Inc.
• Northwoods Villa Inc.
• Northwoods Villa Inc.
• Lacy Palmer, RN

• Addiction Medicine (Family Medicine) Physician in International Falls, MN
• Providers in International Falls, MN by specialty
• Addiction Medicine (Family Medicine) Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.