DR. SUSAN MARIE GRAY MD NPI 1558347252

NPI Information

NPI: 1558347252
Provider Name: DR. SUSAN MARIE GRAY, MD
Classification: Pediatrics - 2080N0001X
Entity Type: Individual

Specialization: Neonatal-Perinatal Medicine

Address:
4701 MONTGOMERY BLVD NE
ALBUQUERQUE, NM
ZIP 87109
Phone: (505) 727-8104
Get Directions

DR. Susan Marie Gray, MD is a neonatal-perinatal medicine pediatrics in Albuquerque, NM. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. DR. Susan Marie Gray, MD NPI is 1558347252. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4701 MONTGOMERY BLVD NE
ALBUQUERQUE, NM
ZIP 87109-219
Phone: (505) 727-8104

The enumeration date for this NPI number is 12/15/2005 and was last updated on 7/8/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	81-210	NEW MEXICO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	D35671	MEDICARE UPIN
2	00005223	MEDICAID	NEW MEXICO

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

NPI Synchronization or Removal

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