Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194019398 Individual Practitioner Female Practitioner

Dr. Tashara Natashja Gray , MD

Pediatrics • Goodyear, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Tashara Gray, MD is a registered healthcare professional specializing in Pediatrics in Goodyear, AZ. Practice services are available at 13471 W CORNERSTONE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

13471 W Cornerstone Blvd

Goodyear, AZ 853952713

Telephone 4809642273
Associated Practice Facility / Clinic
🏢 Adelante Healthcare, Inc. Facility NPI 1275017915

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Goodyear, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 23.5 Yrs
Regional Practice Density
9 Specialists

Practicing in Goodyear, AZ (1353 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-05-17
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License AZ 61785

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License SC LL33679

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License FL ME119054

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Eliza Fabian , LPC

Counselor - Professional

NPI 1003797721

Licensed Professional Counselor

Christopher Galdieri , LPC

Counselor - Professional

NPI 1023723962

Licensed Professional Counselor

Linda Kassir , LCSW

Social Worker

NPI 1023739950

Licensed Clinical Social Worker

Angelica Alcala , MSN, FNP-C

Nurse Practitioner - Family

NPI 1033829023

Master of Science in Nursing, Family Nurse Practitioner (Certified)

NPI 1053536805

Doctor of Osteopathic Medicine (D.O.)

Grace Ruettinger , PA

Nurse Practitioner - Psychiatric/Mental Health

NPI 1053796383

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location May 17, 2023

Registered at 13471 W CORNERSTONE BLVD, GOODYEAR, AZ 853952713 (Tel: 4809642273)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 17, 2023

Pediatrics (License #LL33679 in SC)

📍
Updated Practice Location December 03, 2020

Registered at 306 MONROE AVENUE, BUCKEYE, AZ 85326 (Tel: 8778095092)

📍
Updated Business Mailing Address December 03, 2020

Registered at 3033 N CENTRAL AVE STE 145, PHOENIX, AZ 850122808 (Tel: 8778095092)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2020

Pediatrics (License #61785 in AZ)

NPI Profile Active February 04, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location February 04, 2016

Registered at 1755 W HIBISCUS BLVD, MELBOURNE, FL 329012616 (Tel: 3217245437)

📍
Updated Business Mailing Address February 04, 2016

Registered at 1755 W HIBISCUS BLVD, MELBOURNE, FL 329012616 (Tel: 3217245437)

👤
Provider Name / Credentials Updated February 04, 2016

Recorded as TASHARA GRAY, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2016

Pediatrics (License #ME119054 in FL)

🟢
Initial NPI Registration & Enumeration June 06, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194019398
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2011
Last Update: May 17, 2023
Sole Proprietor: No

Mailing Address

3033 N Central Ave Ste 145

Phoenix, AZ 850122808

Phone: 6235833001

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.