Active NPI
Carl R Gray, M.D.
- Hematology & Oncology Physician
- Ogden, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 5553369-1205
- Practice address
- 5405 S 500 E Ste 202
Ogden, UT 84405-7419 - Phone
- (801) 476-1777
- Fax
- (801) 479-1479
- NPI assigned
- Aug 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 5553369-1205 | UT | Primary |
Addresses
Primary practice location
5405 S 500 E Ste 202
Ogden, UT 84405-7419
Mailing address
4403 Harrison Blvd Ste 1685
Ogden, UT 84403-3274
Phone (801) 476-1777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology
- Education
- University of Texas Medical School at Houston, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5290 S 400
Ogden, UT 84405-7194
Phone (801) 476-1777
Hospital & facility affiliations
- Intermountain Health McKay-Dee Hospital
- Ogden Regional Medical Center
- Holy Cross Hospital-Davis
- Bear River Valley Hospital
- Intermountain Health Layton Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5553369-1205 | UT | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ogden Clinic Specialty Services LLC | Hematology & Oncology | Current | Accepting new patients |
| Ogden Clinic PC | Current | Accepting new patients |
Locations
620 Medical Dr
Ste 300
Bountiful, UT 84010
Phone (801) 298-3247
970 Medical Dr
Ste 300
Brigham City, UT 84302
2132 N Robins Dr
Ste 301
Layton, UT 84041
Phone (801) 775-9990
4403 Harrison Blvd
Ogden, UT 84403
Phone (801) 387-2800
4403 Harrison Blvd
Ste 1685
Ogden, UT 84403
Phone (801) 387-7165
5290 S 400 E
Ste 1685
Ogden, UT 84405
4650 Harrison Blvd
Ogden, UT 84403
Phone (801) 475-3481
5290 S 400 E
Ogden, UT 84405
Phone (801) 476-1777
1491 E Ridgeline Dr
South Ogden, UT 84405
Phone (317) 790-7550
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JJJGBA
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 and National Provider Directory roles.
-
- Sports Medicine (Family Medicine) Physician
- Ogden, UT
- NPI 1114203668
Hematology & Oncology
-
- Family Medicine Physician
- Ogden, UT
- NPI 1578550083
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Layton, UT
- NPI 1346945839
-
- General Acute Care Hospital
- Ogden, UT
- NPI 1720031636
-
- General Acute Care Hospital
- Ogden, UT
- NPI 1194749580
-
- General Acute Care Hospital
- Tremonton, UT
- NPI 1679582944
-
- General Acute Care Hospital
- Layton, UT
- NPI 1417460205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598873382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4403 HARRISON BLVD STE 1685",
"city": "OGDEN",
"state": "UT",
"postal_code": "844033274",
"telephone_number": "801-476-1777",
"fax_number": "801-479-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5405 S 500 E STE 202",
"city": "OGDEN",
"state": "UT",
"postal_code": "844057419",
"telephone_number": "801-476-1777",
"fax_number": "801-479-1479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "CARL",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "UT",
"license": "5553369-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.