Provider Type Icon

DENNIS S. GRAY M.D. PSC NPI 1194960682


NPI Information

NPI: 1194960682
Provider Name: DENNIS S. GRAY, M.D., PSC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1169 EASTERN PKWY
SUITE 1111
LOUISVILLE, KY
ZIP 40217
Phone: (502) 456-4100
Get Directions

DENNIS S. GRAY, M.D., PSC is a family medicine in Louisville, KY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DENNIS S. GRAY, M.D., PSC NPI is 1194960682. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1169 EASTERN PKWY
SUITE 1111
LOUISVILLE, KY
ZIP 40217-417
Phone: (502) 456-4100
Fax: (502) 459-8454

The provider's authorized official is Dennis S. Gray .
The authorized official title is Owner and has the following contact phone number (502) 456-4100.

The enumeration date for this NPI number is 12/11/2008 and was last updated on 6/10/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyNo
2207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17100065390MEDICAIDKENTUCKY
23633465001OTHERKENTUCKYPASSPORT ADVANTAGE
350021729OTHERKENTUCKYPASSPORT
458216840OTHERAETNA
5DO3964OTHERKENTUCKYRR MEDICARE
6000000600890OTHERBC BS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.