Gray'S Foot & Ankle Inc.

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

289 Issued in OK

Legal business name

GRAY'S FOOT & ANKLE INC.

Practice address

14117 Pecan Hollow Ter
Edmond, OK 73013-7257

Phone

(405) 919-5663

NPI assigned

Sep 24, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jeremy Dale Gray, D.P.M.NPI 1427206077

Title

President/Ceo

Phone

(405) 919-5663

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 1

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

• Jeremy D. Gray, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Edmond, OK
  • NPI 1427206077
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379980800000",
    "number": "1851727770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14117 PECAN HOLLOW TER",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730137257",
            "telephone_number": "405-919-5663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14117 PECAN HOLLOW TER",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730137257",
            "telephone_number": "405-919-5663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAY'S FOOT & ANKLE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-24",
        "last_updated": "2013-09-24",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "405-919-5663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "OK",
            "license": "289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isaac Benjamin Gray
• Jeremy D. Gray, D.P.M.
• Noel Marie Gray, M.DIV
• Philip Michael Gray, DDS
• Sylvia Susana Gray, MD
• Great Plains Cardiology LLC
• Elisabeth Green
• Elizabeth Nicole Green
• Emily Elizabeth Green
• Holly Green, PA

• Podiatric Clinic/Center in Edmond, OK
• Providers in Edmond, OK by specialty
• Podiatric Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; 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.