Maurice D Gregory Jr M D a Professional Corporation

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

4894 Issued in NV

Legal business name

MAURICE D GREGORY JR M D A PROFESSIONAL CORPORATION

Practice address

2020 Goldring Ave
Suite 503
Las Vegas, NV 89106-4000

Phone

(702) 822-1356

Fax

(702) 877-1706

NPI assigned

Feb 18, 2011

Organization subpart

No

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

Authorized official

Name

Maurice Dubois Gregory Jr., M.D.NPI 1548278617

Title

President

Phone

(702) 822-1356

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Practitioners 1

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

• Maurice Dubois Gregory Jr., M.D.

  • Pain Medicine Physician
  • Las Vegas, NV
  • NPI 1548278617

  Addiction Medicine

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1297987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1831496306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3395 S JONES BLVD",
            "address_2": "SUITE# 132",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466729",
            "telephone_number": "702-822-1356",
            "fax_number": "702-877-1706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 GOLDRING AVE",
            "address_2": "SUITE 503",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064000",
            "telephone_number": "702-822-1356",
            "fax_number": "702-877-1706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAURICE D GREGORY JR M D A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-18",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_middle_name": "DUBOIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-822-1356",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NV",
            "license": "4894",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NV",
            "license": "4894",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NV",
            "license": "4894",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley G Maurer
• Jessica Lynn Maurer
• Johanna Maurer, MSN, APRN, PMHNP-BC
• Sharon Maurer
• Yolanda Cecilia Maurer
• Jonni Mauro Zambon
• Yasmin Mauro, SA-C
• Maverick Psychiatry
• Noreen Rafik Mavrakis
• Debra F Mavroidis, DDS

• Addiction Medicine (Family Medicine) Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Addiction Medicine (Family Medicine) Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; 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.