Scott K Gray, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

197 Issued in AR

Legal business name

SCOTT K GRAY, DPM

Practice address

1724 W 42ND Ave
Pine Bluff, AR 71603-7008

Phone

(870) 536-3669

Fax

(870) 536-0149

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Scott K Gray, D.P.M.NPI 1275521601

Title

Owner

Phone

(870) 536-3669

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott Kevin Gray, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • White Hall, AR
  • NPI 1275521601
  NPD (past) Authorized official

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710005509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 W 42ND AVE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037008",
            "telephone_number": "870-536-3669",
            "fax_number": "870-536-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 W 42ND AVE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037008",
            "telephone_number": "870-536-3669",
            "fax_number": "870-536-0149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT K GRAY, DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-536-3669",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "AR",
            "license": "197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Sayles, MS
• Bianca Scarver
• Nickolas David Scherzer, MD
• Ashton Delaine Scoggins, DPT
• Catherine Scoggins, L.P.T.A.
• Scott R. Nichols M.D. P.a.
• Kassandra Rose Scott, NP
• Shalisa Donnay Scott
• Shuntar Lasel Scott
• SCPG Arkansas LLC

• Podiatrist in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Podiatrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.