Ann Marie Gray, M.D.

Individual provider Active NPI Family Medicine Physician · Marshall, MO

NPI 1831153824 · NPPES record last updated Jan 21, 2025

Key facts

NPI
1831153824
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
112737 (MO)
Practice address
2305 S Highway 65
Marshall, MO 65340-3702
Phone
(660) 886-7431
Fax
(660) 831-3314
NPI assigned
Apr 14, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 14

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

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Family Practice
Education
University of Missouri, Columbia School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John Fitzgibbon Memorial Hospital Inc (45 clinicians)

Practice addresses (Care Compare)

2305 S Hwy 65
Marshall, MO 65340-3702
Phone (660) 831-3730

Hospital & facility affiliations

  • Fitzgibbon Hospital Hospital · Marshall, MO · CCN 260142

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20160125002064 MO Practitioner - Family Practice 1951435098 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
John Fitzgibbon Memorial Hospital Inc. Current
since Jul 18, 2016
Accepting new patients
John Fitzgibbon Memorial Hospital, Inc. Current
since Jul 18, 2016
Accepting new patients
John Fitzgibbon Memorial Hospital Inc Current Accepting new patients
University Health Physicians Family Medicine Past Accepting new patients

Locations

2305 S Highway 65
Marshall, MO 65340
Phone (660) 831-3730

Interoperability endpoints

  • Direct secure messaging: annmurphy@fitzgibbon.cernerdirect.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 112737 MO Yes
Family Medicine Physician 207Q00000X 04-28795 KS

Addresses

Primary practice location

2305 S Highway 65
Marshall, MO 65340-3702

Mailing address

9401 E 30TH St S
Independence, MO 64052-1331
Phone (816) 665-3454

Other identifiers

IdentifierTypeStateIssuer
CD6440OtherKSMEDICARE RAILROAD GRP #
P00125145OtherKSMEDICARE RAILROAD PIN

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address ANNMURPHY@fitzgibbon.cernerdirect.com Direct

Other providers in Marshall, MO

All providers in Marshall, MO · Family Medicine Physician in Missouri

Sources for this page

Verify at the official NPI Registry.