John M. Gray, M.D., Inc.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

C32803 Issued in CA

Legal business name

JOHN M. GRAY, M.D., INC.

Practice address

525 Doyle Park Dr
Suite 102
Santa Rosa, CA 95405-4516

Phone

(707) 535-0838

Fax

(707) 535-0839

NPI assigned

Nov 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John M. Gray, M. D.

Title

President

Phone

(707) 535-0838

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253145600000",
    "number": "1942374137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 DOYLE PARK DR",
            "address_2": "SUITE 102",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054516",
            "telephone_number": "707-535-0838",
            "fax_number": "707-535-0839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 DOYLE PARK DR",
            "address_2": "SUITE 102",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054516",
            "telephone_number": "707-535-0838",
            "fax_number": "707-535-0839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M. GRAY, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2009-09-17",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-535-0838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "C32803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthopaedic Surgery Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; 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.