Judith Mestnik Gray, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601001085 Issued in MI

Practice address

104 Malton Rd
Negaunee, MI 49866-2000

Phone

(906) 228-4692

Fax

(906) 228-2830

NPI assigned

Dec 14, 2006

Last updated

Apr 5, 2022By the provider in NPPES

Sex

Female

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

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Bell Physician Practices Inc

  • Family Medicine Physician
  • Ishpeming, MI
  • NPI 1578992491
  Medicare reassignment
• Bell Medical Center

  • Multi-Specialty Clinic/Center
  • Ishpeming, MI
  • NPI 1477664837
  NPD
• Bell Physician Practices Inc

  dba UP Medical Group - Bell Women's Care

  • Rural Health Clinic/Center
  • Ishpeming, MI
  • NPI 1114726676
  NPD
• Great Lakes Recovery Centers

  dba Medical Services

  • Family Medicine Physician
  • Negaunee, MI
  • NPI 1033864954
  NPD (past)
• Great Lakes Recovery Centers

  • Children's Substance Abuse Rehabilitation Facility
  • Negaunee, MI
  • NPI 1669899241
  NPD (past)
• Great Lakes Recovery Centers

  • Substance Abuse Rehabilitation Facility
  • Ironwood, MI
  • NPI 1821267956
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1821150327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 S 4TH ST STE C",
            "city": "ISHPEMING",
            "state": "MI",
            "postal_code": "498492168",
            "telephone_number": "906-228-9699",
            "fax_number": "906-228-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MALTON RD",
            "city": "NEGAUNEE",
            "state": "MI",
            "postal_code": "498662000",
            "telephone_number": "906-228-4692",
            "fax_number": "906-228-2830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "241 Wright St",
            "address_purpose": "LOCATION",
            "city": "Marquette",
            "state": "MI",
            "postal_code": "498551955",
            "country_code": "US",
            "telephone_number": "906-228-7611",
            "fax_number": "906-228-8156",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1009 W Ridge St Ste C",
            "address_purpose": "LOCATION",
            "city": "Marquette",
            "state": "MI",
            "postal_code": "498553997",
            "country_code": "US",
            "telephone_number": "906-228-6545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Malton Rd Ste 7",
            "address_purpose": "LOCATION",
            "city": "Negaunee",
            "state": "MI",
            "postal_code": "498662002",
            "country_code": "US",
            "telephone_number": "906-464-0002",
            "fax_number": "906-486-6898",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "97 S 4th St Ste B",
            "address_purpose": "LOCATION",
            "city": "Ishpeming",
            "state": "MI",
            "postal_code": "498492168",
            "country_code": "US",
            "telephone_number": "906-464-0002",
            "fax_number": "906-464-4043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "JUDITH",
        "middle_name": "MESTNIK",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601001085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Aron Nicolas Gilmore
• Jenna Rae Giordana, LPC
• Joni Marie Gleason
• Terry L Gould, DDS
• Kyra Granroth
• Great Lakes Recovery Centers (Medical Services)
• Great Lakes Recovery Centers
• Great Lakes Recovery Centers
• Great Lakes Recovery Centers
• Great Lakes Recovery Centers

• Physician Assistant in Negaunee, MI
• Providers in Negaunee, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.