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FLETE WARREN GRAY PA
NPI 1457379463
Physician Assistant in Maplewood, MN

Active since July 17, 2006
1600 SAINT JOHNS BLVD STE 101, MAPLEWOOD, MN 55109(651) 968-5200(651) 968-5903 Get Directions Write a Review

NPPES record last updated: December 14, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Flete Warren Gray Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FLETE WARREN GRAY PA (NPI 1457379463) is an individual physician assistant in Maplewood, Minnesota, licensed in Minnesota (8833) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1457379463
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameFLETE WARREN GRAYCredential: PA
Location Address1600 SAINT JOHNS BLVD STE 101Maplewood, MN 55109-1190
Mailing Address710 Commerce Dr Ste 200Woodbury, MN 55125-4925 · (651) 968-5050 · Fax (651) 968-5900
Phone(651) 968-5200
Fax(651) 968-5903
Sole ProprietorNo
Enumeration DateJuly 17, 2006
Last NPPES UpdateDecember 14, 2010
✔ NPI 1457379463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MN · 8833
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1600 SAINT JOHNS BLVD STE 101, Maplewood, MN 55109
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Other Identifiers 1

Medicare UPINP96863MN

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RONDA ELLEVOLD ATC
Specialist/Technologist (Athletic Trainer)
1600 SAINT JOHNS BLVD STE 101
MAPLEWOOD, MN 55109
Ramsey County (651) 968-5200
LARISSA VADOS L.AC.
Acupuncturist
1600 SAINT JOHNS BLVD STE 101
MAPLEWOOD, MN 55109
Ramsey County (651) 232-5354

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Flete Gray's NPI number?

The NPI number for Flete Gray is 1457379463. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Flete Gray located?

Flete Gray practices at 1600 Saint Johns Blvd Ste 101, Maplewood, MN 55109. The listed phone number is (651) 968-5200.

What is Flete Gray's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Flete Gray was last updated on December 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.