Active NPI
Virginia L Gray-Clarke, M.D
- Pediatrics Physician
- Sharon, CT
National Provider Identifier
1891875167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 038023
- Practice address
- 29 Hospital Hill Rd
Suite 1600
Sharon, CT 06069-2095 - Phone
- (860) 364-5585
- Fax
- (860) 364-5078
- NPI assigned
- Oct 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 038023 | CT | Primary |
Addresses
Primary practice location
29 Hospital Hill Rd
Suite 1600
Sharon, CT 06069-2095
Mailing address
P.O. Box 789
50 Hospital Hill Road
Sharon, CT 06069
Phone (860) 364-4471
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001380237 | Medicaid | CT | |
| 010038023 | Other | CT | BLUE CROSS BLUE SHIELD |
| 565211 | Other | NY | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038023 | CT | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Hills Pediatrics PC | Past | Accepting new patients | |
| Regional Healthcare Associates LLC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/1053/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Pediatric Adolescent Medicine Physician
- Torrington, CT
- NPI 1639220676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389830400000",
"number": "1891875167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 789",
"address_2": "50 HOSPITAL HILL ROAD",
"city": "SHARON",
"state": "CT",
"postal_code": "06069",
"telephone_number": "860-364-4471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 HOSPITAL HILL RD",
"address_2": "SUITE 1600",
"city": "SHARON",
"state": "CT",
"postal_code": "060692095",
"telephone_number": "860-364-5585",
"fax_number": "860-364-5078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY-CLARKE",
"first_name": "VIRGINIA",
"middle_name": "L",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2014-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CT",
"license": "038023",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001380237",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "010038023",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "565211",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sharon, CT
- Jack Finkelstein, MD
- Thomas J Francescott, N.D.
- Khalilah Fullard, PHARMD
- Glassfish Emergency Physicians LLC
- Andrew Michael Goldman, DO
- Health Quest Medical Practice, PC
- Health Quest Medical Practice, PC
- Health Quest Medical Practice, PC
- Health Quest Medical Practice, PC
- Health Quest Medical Practice, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.