| Dr Ellyn Joyce Gray, MD | |
| 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | |
| (616) 364-4200 | |
| Not Available | 
| Full Name | Dr Ellyn Joyce Gray | 
|---|---|
| Gender | Female | 
| Speciality | Anesthesiology | 
| Location | 100 Michigan St Ne, Grand Rapids, Michigan | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1881187367 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207L00000X | Anesthesiology | 4301509128 (Michigan) | Primary | 
| Entity Name | West Michigan Anesthesia Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1225016926 PECOS PAC ID: 1355243551 Enrollment ID: O20040504001256 | 
| Entity Name | Anesthesia Medical Consultants, Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1063710689 PECOS PAC ID: 3678751658 Enrollment ID: O20110621000722 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Ellyn Joyce Gray, MD 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 Ph: (616) 364-4200 | Dr Ellyn Joyce Gray, MD 100 Michigan St Ne, Grand Rapids, MI 49503-2560 Ph: (616) 364-4200 | 
| Matthew H Armstrong, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-391-1510 | |
| Daniel H. Robinson, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 200 Jefferson Ave Se, Grand Rapids, MI 49503 Phone: 616-685-5000 | |
| Cheryl Lukins, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 25 Michigan St Ne Ste 2200, Grand Rapids, MI 49503 Phone: 616-391-3245 | |
| Dr. Steven Denhof, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1840 Wealthy St Se, Grand Rapids, MI 49506 Phone: 616-391-1730 | |
| Dr. Jeffrey M Ricketts, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3333 Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-364-4200 Fax: 616-364-7347 | |
| Christopher Ross Russo, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 710 Kenmoor Ave Se, Suite 200, Grand Rapids, MI 49546 Phone: 616-588-7246 Fax: 616-588-7086 | |
| Samuel Lee, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 100 Michign St Ne, Grand Rapids, MI 49503 Phone: 616-364-4200 |