Mackenzie M Gray, PA-C
Physician Assistant, Surgical in Springfield, Massachusetts
1407479272- Practice location
- 271 Carew St, Springfield, MA 01104-2377
- Phone
- 413-748-7353
- Fax
- —
- Last updated
- June 23, 2021
Mackenzie Malcolm Gray is a Physician Assistant, Surgical based in Springfield, MA. Mackenzie Malcolm Gray practices in Springfield, MA and has the professional credentials of PA-C. The NPI Number for Mackenzie Malcolm Gray is 1407479272 and holds a License No. PA7598 (MA). The current practice location address for Mackenzie Malcolm Gray is 271 Carew St, Springfield, MA 01104-2377 and can be reached out via phone at 413-748-7353.
Provider Profile Details
- NPI Number
- 1407479272
- Provider Name
- Mackenzie Malcolm Gray
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 271 Carew St, Springfield, MA 01104-2377
- Phone Number
- 413-748-7353
- Primary Taxonomy
- Physician Assistant, Surgical · 363AS0400X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 27, 2020
- Last Update Date
- June 23, 2021
- Certification Date
- June 23, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 271 Carew St
Springfield, MA 01104-2377 - City
- Springfield
- State
- Massachusetts
- Zip
- 01104-2377
- Phone Number
- 413-748-7353
Provider Business Mailing Address Details
- Address
- Surgical PA Dept
271 Carew St
Springfield, MA 01104-2377 - City
- Springfield
- State
- MA
- Zip
- 01104-2377
- Phone Number
- 413-748-7353
- Fax Number
- 413-748-7357
License Information
- License Number
- PA7598
- License State
- MA
- Taxonomy
- Physician Assistant, Surgical · 363AS0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mackenzie M Gray, PA-C?
The NPI number of Mackenzie M Gray, PA-C is 1407479272. It was assigned on May 27, 2020 and is currently active in the NPPES registry.
What is the specialty of Mackenzie M Gray, PA-C?
Mackenzie M Gray, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in MA under license number PA7598.
Where does Mackenzie M Gray, PA-C practice?
The practice location is 271 Carew St, Springfield, MA 01104-2377. The office can be reached at 413-748-7353 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407479272 directly on the NPPES registry website.