William R Gray, D.O.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

WG008271 Issued in MI

Practice address

125 N Main St
Cheboygan, MI 49721-1637

Phone

(231) 627-3800

Fax

(231) 627-2482

NPI assigned

Aug 31, 2006

Last updated

Oct 5, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Northern Michigan Dermatology Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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.

• Northern Michigan Dermatology PC

  • Dermatology Physician
  • Cheboygan, MI
  • NPI 1801082987
  Authorized official Same address or phone

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286236800000",
    "number": "1831200369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N MAIN ST",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "497211637",
            "telephone_number": "231-627-3800",
            "fax_number": "231-627-2482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N MAIN ST",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "497211637",
            "telephone_number": "231-627-3800",
            "fax_number": "231-627-2482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "WILLIAM",
        "middle_name": "R",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "WG008271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3055165",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0751600054",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "5160005",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NORTHERN",
            "last_name": "DERMATOLOGY",
            "middle_name": "MICHIGAN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Gentle Winds LLC
• Kristin K Gilbert, D.C.
• Jody R Ginop, NCC LPC CAADC
• Madhuri Gogineni, MD
• Patty Lynn Goldammer, LPTA
• Allison Gross, LMSW-C
• Susan Lee Guinn, RPH
• Patrice Ann Gustafson, C.M.T.
• Cara Lynn Haapapuro, NP
• Cory Hamrick

• Dermatology Physician in Cheboygan, MI
• Providers in Cheboygan, MI by specialty
• Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; 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.