John Tobias Gray, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA 3649 Issued in FL

Practice address

1995 E Oakland Park Blvd
Suite 250
Ft Lauderdale, FL 33306-1147

Phone

(954) 791-6146

Fax

(954) 337-2733

NPI assigned

Jul 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Florida Practitioners, Inc

  • Surgical Physician Assistant
  • Nashville, TN
  • NPI 1659775393
  NPD Authorized official
• Western First Assist LLC

  • Surgical Physician Assistant
  • Brentwood, TN
  • NPI 1407139603
  NPD (past) Authorized official
• Meli Orthopedic Centers of Excellence,LLC.

  • Specialist
  • Ft Lauderdale, FL
  • NPI 1568581502
  NPD (past)
• Ronald C Sirois MD PA

  • Urology Physician
  • Fort Lauderdale, FL
  • NPI 1225338403
  NPD (past)
• Texas Practitioners LLC

  • Surgical Physician Assistant
  • Arlington, TX
  • NPI 1972335313
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1992729685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 E OAKLAND PARK BLVD STE 250",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061149",
            "telephone_number": "954-533-2350",
            "fax_number": "954-337-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 E OAKLAND PARK BLVD",
            "address_2": "SUITE 250",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061147",
            "telephone_number": "954-791-6146",
            "fax_number": "954-337-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "JOHN",
        "middle_name": "TOBIAS",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA 3649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290491800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marie J Gravel Solano, PA-C
• Gravity X LLC
• Angelis Gray
• Christopher David Gray, LAT, ATC
• James Lance Gray
• Veniece Gray, APRN-FNP
• Ann Lora Graziotti, ARNP
• Great Care Services, LLC
• Great Neck Enterprises Inc
• Greater Florida Anesthesiologists, LLC

• Surgical Physician Assistant in Ft Lauderdale, FL
• Providers in Ft Lauderdale, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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.