National Provider Identifier
Jonathan Gardner Gray, PA-C
Jonathan Gardner Gray, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Boston, MA and a listed phone number of (617) 724-7739.
Source: public NPPES record, last updated May 01, 2019. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1083887541
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- April 07, 2008
- Last Updated
- May 01, 2019
Practice Location
- 55 Fruit St
- Boston, MA 02114-2621
Phone: (617) 724-7739
Mailing Address
- 11 Nevins St
- Suite 306
- Boston, MA 02135-3514
Specialties
- Physician Assistant (363A00000X)
- Surgical Physician Assistant (363AS0400X)
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Biography
Jonathan Gardner Gray, PA-C, is a Boston physician assistant with a surgical and cardiovascular practice background. Public provider profiles list him with Steward Medical Group and place his prior practice at SMG Cardiothoracic Surgery at St. Elizabeth’s Medical Center; Medicare directory data reports that he completed his physician assistant training in 2006.
Full Record
- NPI
- 1083887541
- Entity Type
- Individual
- Last Name
- Gray
- First Name
- Jonathan
- Middle Name
- Gardner
- Name Prefix
- Mr.
- Credential
- PA-C
- Mailing Street Address
- 11 Nevins St
- Mailing Address Line 2
- Suite 306
- Mailing City
- Boston
- Mailing State
- MA
- Mailing ZIP Code
- 02135-3514
- Mailing Country
- US
- Mailing Phone
- (617) 789-2045
- Practice Street Address
- 55 Fruit St
- Practice City
- Boston
- Practice State
- MA
- Practice ZIP Code
- 02114-2621
- Practice Country
- US
- Practice Phone
- (617) 724-7739
- Enumeration Date
- April 07, 2008
- Last Updated
- May 01, 2019
- Sex
- Male
- Sole Proprietor
- No
- Taxonomies
- Physician Assistant (363A00000X), Surgical Physician Assistant (363AS0400X)