Keith a Gray MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME41485 Issued in FL

Legal business name

KEITH A GRAY MD PA

Practice address

100 W Gore St
Suite 303
Orlando, FL 32806-1044

Phone

(407) 423-9920

Fax

(407) 423-0545

NPI assigned

Aug 12, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Wisteria Y Wyche

Title

Office Manager

Phone

(407) 839-5063

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

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

• Keith A Gray, MD

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1033195177
  Medicare reassignment Care Compare group NPD
• Thuy T Kolomiyets, APRN

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1578156238
  Medicare reassignment Care Compare group NPD
• Silviya Geneva Dragieva, ARNP

  • Adult Health Nurse Practitioner
  • Orlando, FL
  • NPI 1205350113
  Medicare reassignment NPD

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303257600000",
    "number": "1720090749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 568987",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328568987",
            "telephone_number": "407-423-9920",
            "fax_number": "407-423-0545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W GORE ST",
            "address_2": "SUITE 303",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061044",
            "telephone_number": "407-423-9920",
            "fax_number": "407-423-0545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH A GRAY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2011-04-20",
        "status": "A",
        "authorized_official_last_name": "WYCHE",
        "authorized_official_first_name": "WISTERIA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "407-839-5063",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME41485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255117900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "47582",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Keene
• Keep a Kid on Track
• Julie Keesee, CRNA
• Terri Jean Keilly, CRNA
• Kenneth S. Keister, ATC,
• Keith G Kanter DDS PA
• Tationna Sanai Keith Jackson
• Keith R Goldstein D P M P a
• Faustina Keke
• Hadi Kelani

• Internal Medicine Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.