Luke Frederick Gray, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601009547 Issued in MI

Practice address

3434 M 119 Ste C
Harbor Springs, MI 49740-9373

Phone

(231) 348-9900

NPI assigned

Nov 14, 2018

Last updated

Feb 22, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alcona Citizens for Health, Inc.

  dba Alcona Health Centers

  • Federally Qualified Health Center (FQHC)
  • Harrisville, MI
  • NPI 1326055450

  Physician Assistant

  Medicare reassignment NPD
• Alcona Citizens for Health, Inc.

  dba Alcona Health Center Pediatrics

  • Federally Qualified Health Center (FQHC)
  • Alpena, MI
  • NPI 1750159158
  NPD
• Brain and Spine Associates PC

  • Neurological Surgery Physician
  • Bay City, MI
  • NPI 1710651195
  NPD (past)
• Ivyrehab Michigan, LLC

  • Behavior Analyst
  • Hartland, MI
  • NPI 1508519489
  NPD (past)
• Petoskey Surgeons, P.C.

  • Surgery Physician
  • Petoskey, MI
  • NPI 1730145574
  NPD (past)

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1710456280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 W WASHINGTON AVE",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497072929",
            "telephone_number": "989-358-0673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 M 119 STE C",
            "city": "HARBOR SPRINGS",
            "state": "MI",
            "postal_code": "497409373",
            "telephone_number": "231-348-9900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1280 E Campus Dr.",
            "address_2": "Central Michigan University",
            "address_purpose": "LOCATION",
            "city": "Mt Pleasant",
            "state": "MI",
            "postal_code": "48858",
            "country_code": "US",
            "telephone_number": "231-203-4020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "LUKE",
        "middle_name": "FREDERICK",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-14",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601009547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "luke.gray.p1@direct.alcona.nextgenshare.com",
            "affiliation": "N",
            "address_1": "3434 M 119 Ste C",
            "city": "Harbor Springs",
            "state": "MI",
            "country_code": "US",
            "postal_code": "497409373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicole Fall, LMSW
• Nina Fearon, RDN
• Renee Irene-Francis Foreman, LPTA
• Good Hart Investments
• Ashley Sue Granger, LMSW
• Preston Greene, LMSW, CAADC
• Gregory Putalik, MD PC
• Elise Hacker
• Rosalie Carol Hafner, OTR/L,WMMT,MFRP
• Garrett William Hair, PMHNP-BC

• Physician Assistant in Harbor Springs, MI
• Providers in Harbor Springs, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.