NPIMap

Individual provider Active NPI

Cory Gray, D.O.

  • Emergency Medicine Physician
  • Johnstown, PA
National Provider Identifier
1598143042
Registry record updated May 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OT016282 Issued in PA
Practice address
1086 Franklin St
Johnstown, PA 15905-4305
Phone
(814) 534-3745
Fax
(814) 534-5677
NPI assigned
May 15, 2015
Last updated
May 15, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OT016282 PA Primary

Addresses

Primary practice location

1086 Franklin St
Johnstown, PA 15905-4305

Mailing address

1086 Franklin St
Johnstown, PA 15905-4305
Phone (814) 534-3745

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20180103000352 PA Practitioner - Emergency Medicine 0345553426 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Irmc - Premier LLCGroup PAC ID 2567949407, 13 clinicians

Practice addresses (Care Compare)

200 Hospital Dr
Meyersdale, PA 15552-1249
Phone (814) 634-5911

216 Glessner St
Ligonier, PA 15658-1271
Phone (724) 995-8012

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OT016282PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ahn Emergency Group of Pittsburgh LTD. Emergency Medicine CurrentSince Aug 10, 2023 Accepting new patients
DLP Conemaugh Miners Medical Center LLC CurrentSince Nov 13, 2017 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Nov 13, 2017 Accepting new patients
Irmc - Premier LLC CurrentSince Jan 1, 2025 Accepting new patients
Nason Physician Practices LLC Emergency Medicine Current Accepting new patients
Nason Physician Practices LLC CurrentSince Jan 1, 2018 Accepting new patients
Nason Physician Practices LLC Emergency Medicine CurrentSince Jan 1, 2018 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Nov 13, 2017 Accepting new patients
DLP Conemaugh Miners Medical Center LLC Emergency Medicine CurrentSince Nov 13, 2017 Accepting new patients
Premier Express Care LLC CurrentSince May 27, 2025 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients

Locations

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

216 Glessner St
Ligonier, PA 15658
Phone (724) 995-8012

200 Hospital Dr
Meyersdale, PA 15552
Phone (814) 634-5911

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

104 Hillcrest Dr
Roaring Spring, PA 16673
Phone (814) 224-5455

105 Nason Dr
Roaring Spring, PA 16673
Phone (814) 224-2141

Interoperability endpoints

  • Direct secure messaging: cgray6193@direct.conemaugh.org

Organizations & group practices 11

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431648000000",
    "number": "1598143042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 FRANKLIN ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054305",
            "telephone_number": "814-534-3745",
            "fax_number": "814-534-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086 FRANKLIN ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054305",
            "telephone_number": "814-534-3745",
            "fax_number": "814-534-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "CORY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-15",
        "last_updated": "2015-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OT016282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

Verify at the official NPI Registry.