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Physician Compare National (NPI:1184850836)

HEALTHCARE PROVIDER: CHRISTY DELORIS BUTLER GRAY MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1184850836
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 1850540147
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20140922000821
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name GRAY
Individual professional last name
Provider First Name CHRISTY
Individual professional first name
Provider Middle Name DELORIS BUTLER
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Individual professional's medical school
Graduation Year 2009
Individual professional's medical school graduation year
Primary Specialty SLEEP MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name JOHNS HOPKINS UNIVERSITY
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 8921903147
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 2448
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 600 N WOLFE ST
Group Practice or individual's line 1 address
City BALTIMORE
Group Practice or individual's city
State MD
Group Practice or individual's state
Zip Code 212870005
Group Practice or individual's zip code (9 digits when available)
Phone Number 4109555000
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 210009
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 JOHNS HOPKINS HOSPITAL, THE
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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