Individual provider Active NPI

Carl R Gray, M.D.

  • Hematology & Oncology Physician
  • Ogden, UT
National Provider Identifier
1598873382
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
5553369-1205 Issued in UT
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040421000802 UT Practitioner - HematologyPractitioner - Hematology/Oncology 5092701581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HematologyAlso: Hematology/Oncology
Education
University of Texas Medical School at Houston, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ogden Clinic Specialty Services LLCGroup PAC ID 1658781422, 131 clinicians

Practice addresses (Care Compare)

5290 S 400
Ogden, UT 84405-7194
Phone (801) 476-1777

Hospital & facility affiliations

  • Intermountain Health McKay-Dee Hospital Hospital, Ogden, UT, CCN 460004
  • Ogden Regional Medical Center Hospital, Ogden, UT, CCN 460005
  • Holy Cross Hospital-Davis Hospital, Layton, UT, CCN 460041
  • Bear River Valley Hospital Hospital, Tremonton, UT, CCN 460039
  • Intermountain Health Layton Hospital Hospital, Layton, UT, CCN 460061

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5553369-1205UTMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ogden Clinic Specialty Services LLC Hematology & Oncology CurrentSince Jun 13, 2022 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

  • FHIR API: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.