Active NPI
Lenora E Gray, M.D.
- Neurology Physician
- Centerville, OH
National Provider Identifier
1699740795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 35-02-7186-G
- Practice address
- 1975 Miamisburg Centerville Rd
Centerville, OH 45459-3811 - Phone
- (937) 439-6186
- Fax
- (937) 439-9900
- NPI assigned
- Feb 22, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 35-02-7186-G | OH | Primary |
Addresses
Primary practice location
1975 Miamisburg Centerville Rd
Centerville, OH 45459-3811
Mailing address
1975 Miamisburg Centerville Rd
Centerville, OH 45459-3811
Phone (937) 439-6186
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3377500 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189036800000",
"number": "1699740795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1975 MIAMISBURG CENTERVILLE RD",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454593811",
"telephone_number": "937-439-6186",
"fax_number": "937-439-9900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1975 MIAMISBURG CENTERVILLE RD",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454593811",
"telephone_number": "937-439-6186",
"fax_number": "937-439-9900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "LENORA",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-22",
"last_updated": "2007-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OH",
"license": "35-02-7186-G",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3377500",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Centerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.