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Deactivated NPI 1013030220 Deactivated / Inactive NPI Male Practitioner

Matthew Philip Gray

Pediatrics • Milwaukee, WI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Matthew Gray has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 10, 2007
NPI Deactivation Date June 19, 2024
Total Practice Duration ~17 Years of Practice (2007 – 2024)

Professional Overview & Biography Verified Profile Summary

Matthew Gray was a registered Pediatrics practicing in Milwaukee, WI. Throughout an active medical career spanning 17 years, Matthew Gray provided care at the practice location at 9000 W WISCONSIN AVE until profile deactivation on 2024-06-19.

Practice Location & Contact Primary Location

Practice Address

9000 W Wisconsin Ave
Pediatric Urgent Care

Milwaukee, WI 532264874

Telephone 4142662649
Associated Practice Facility / Clinic
🏢 Childrens Medical Group Inc Facility NPI 1790732410

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Milwaukee, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.8 Yrs
State Avg: 18.1 Yrs
Regional Practice Density
237 Specialists

Practicing in Milwaukee, WI (1245 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License WI 52536

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
Leslie Talbert , NP

Nurse Practitioner - Pediatrics

NPI 1003092420

Nurse Practitioner

Dr. Sarah Rumler , DO

Pediatrics - Pediatric Hematology-Oncology

NPI 1003221896

Doctor of Osteopathic Medicine (D.O.)

Alison Coren

Pediatrics - Pediatric Endocrinology

NPI 1003234782
NPI 1003279449

Doctor of Medicine (M.D.)

NPI 1003378928

Doctor of Osteopathic Medicine (D.O.)

Kyndal Hettich , RD, CSP, CD

Dietitian, Registered

NPI 1003460882

Registered Dietitian, CSP, CD

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated June 19, 2024

Record deactivated on June 19, 2024

NPI Profile Active October 11, 2013

NPI status registered as active in NPPES database

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Updated Practice Location October 11, 2013

Registered at 9000 W WISCONSIN AVE, PEDIATRIC URGENT CARE, MILWAUKEE, WI 532264874 (Tel: 4142662649)

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Updated Business Mailing Address October 11, 2013

Registered at 9000 W WISCONSIN AVE, PEDIATRIC URGENT CARE, MILWAUKEE, WI 532264874 (Tel: 4142662649)

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Provider Name / Credentials Updated October 11, 2013

Recorded as MATTHEW GRAY

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2013

Pediatrics (License #52536 in WI)

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Initial NPI Registration & Enumeration April 10, 2007

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: 1013030220
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 10, 2007
Last Update: October 11, 2013
Deactivation Date: June 19, 2024

Mailing Address

9000 W Wisconsin Ave, Pediatric Urgent Care

Milwaukee, WI 532264874

Phone: 4142662649

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

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