Victor Grays Sr.

Primary specialty

Basic Emergency Medical TechnicianTaxonomy code 146N00000X

License

343900000X Issued in MD

Practice address

3125 Persimmon Tree CT
Woodstock, MD 21163-1133

Phone

(443) 621-2225

NPI assigned

Nov 2, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Let's Ride LLC

  dba Let's Ride Services LLC

  • Non-emergency Medical Transport (VAN)
  • Woodstock, MD
  • NPI 1134947195
  NPD Authorized official

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

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1649043472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 PERSIMMON TREE CT",
            "city": "WOODSTOCK",
            "state": "MD",
            "postal_code": "211631133",
            "telephone_number": "443-621-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 PERSIMMON TREE CT",
            "city": "WOODSTOCK",
            "state": "MD",
            "postal_code": "211631133",
            "telephone_number": "443-621-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAYS",
        "first_name": "VICTOR",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-02",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "MD",
            "license": "343900000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Basic Emergency Medical Technician in Woodstock, MD
• Providers in Woodstock, MD by specialty
• Basic Emergency Medical Technician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.