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NPI Code Detail

MEDICARE: DR. PATRICK KEITH GRAY DO

MEDICARE: DR. PATRICK KEITH GRAY DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician34007164GOH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4P00329871OTHEROHRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1N381410OTHEROHWELLCARE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3000000269013OTHEROHANTHEM

General Provider Information

NPI Number : 1861478778
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRICK KEITH GRAY DO
Provider Business Mailing Address
First Line : 3131 NEWMARK DR STE 220
Second Line :
City : MIAMISBURG
State : OH
Zip : 45342-5400
Country : US
Telephone Number : 937-438-8910
Fax Number :
Provider Business Practice Location Address
First Line : 27100 CHARDON RD
Second Line :
City : RICHMOND HEIGHTS
State : OH
Zip : 44143-1116
Country : US
Telephone Number : 440-585-6500
Fax Number : 330-656-5901
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2005
Last Update Date : 11/30/2025

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Directions to “ DR. PATRICK KEITH GRAY DO” Practice Location

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