Michael R Gray

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

3019 Issued in IL

Practice address

2347 W Monroe St
Springfield, IL 62704-1452

Phone

(217) 793-3333

NPI assigned

Apr 3, 2018

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

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522713600000",
    "number": "1669978177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 N WATER ST STE 101",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625263239",
            "telephone_number": "217-875-5555",
            "fax_number": "217-875-9640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2347 W MONROE ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627041452",
            "telephone_number": "217-793-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-03",
        "last_updated": "2018-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IL",
            "license": "3019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark W Graves, MD
• Shannon Nicole Graves, APRN
• Gray Therapy Group, PLLC
• Blake Ashley Gray, MD
• Marissa Gray, LCSW
• Great Health Medical Afil, P.C.
• Great Lakes Caring Hospice C Il, LLC
• Mark D. Greatting, M.D.
• Allison M Green
• Jennifer Lynn Green

• Hearing Instrument Specialist in Springfield, IL
• Providers in Springfield, IL by specialty
• Hearing Instrument Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; 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.