Gray Medical Associates
Organization Active NPI Clinic/Center · Windber, PA
NPI 1831296664 · NPPES record last updated Aug 11, 2008
Key facts
- NPI
- 1831296664
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- GRAY MEDICAL ASSOCIATES
- Practice address
- 1599 Somerset Avenue
Suite #1
Windber, PA 15963-0000 - Phone
- (814) 467-5600
- Fax
- (814) 467-5605
- NPI assigned
- Sep 20, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- GRAY MEDICAL ASSOCIATES
Authorized official
- Name
- Margaret M Gray
- Title
- Business Manager
- Phone
- (814) 467-5600
Owned or controlled facilities with NPI records 1
Practitioners 7
-
Jerry L Gray, MD
-
Patrick M. Gray, MD
-
Tamara L. Hoffman, D.O.
-
Conor Joseph Mulcahy, D.O.
-
Jakob Vasil, FNP-C
-
Calli Morgan Hoover, PA-C
-
Kelly Jordan Spangler, PA-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D1061486 | Gray Medical Associates PC | Certificate of waiver | Nov 19, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Laurel View Village |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Mar 1, 2019 Sep 18, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061026000222 | PA | Part B Supplier - Clinic/Group Practice | 4880691328 |
Receives reassigned benefits from 7 practitioners Practice locations: Windber, PA |
National Provider Directory
- Part of
- Gray Medical Associates
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
1599 Somerset Avenue
Suite #1
Windber, PA 15963-0000
Mailing address
1599 Somerset Avenue
Suite #1
Windber, PA 15963-0000
Phone (814) 467-5600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1017401280001 | Medicaid | PA |
Other providers in Windber, PA
- Thomas John Fox
- Brianne Joyce France-Layton
- Libang Fu
- Reid Gentile
- Jeffrey A Gracie
- Jerry L Gray
- Patrick M. Gray
- Tom Hanik
- Cory Hartland
- Jamie Hicks
All providers in Windber, PA · Clinic/Center in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.