OrganizationActive
Shannon Gray
NPI 1245553502 · Specialist · Mesa, AZ
Shannon Gray is a Specialist organization in Mesa, AZ (NPI 1245553502).
Provider details
- NPI number
- 1245553502
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Shannon Gray, Administrator/Owner(480) 983-4200
- License
- 36286 (AZ)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1111 S Stapley Dr
Suite 111
Mesa, AZ 85204-5059
Phone: (480) 398-1220
Fax: (480) 398-1230
Street-level locationGet directions
Mailing address
212 W Superstition Blvd
Apache Junction, AZ 85120-4127
Other names (DBA / former)
- Doing business as
- Vista Medical Group
Registry dates
- Enumerated
- 2010-03-01
- Last updated
- 2010-03-01
Frequently asked questions
- What is Shannon Gray's NPI number?
- Shannon Gray's National Provider Identifier (NPI) is 1245553502, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shannon Gray?
- Shannon Gray is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Shannon Gray located?
- Shannon Gray's practice location on file with NPPES is 1111 S Stapley Dr, Mesa, AZ 85204-5059.
- What is Shannon Gray's phone number?
- The practice phone number listed in the NPPES registry for Shannon Gray is (480) 398-1220.
- Who is the authorized official for Shannon Gray?
- The authorized official listed on Shannon Gray's NPPES record is Shannon Gray, Administrator/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shannon Gray's NPI active?
- Yes — Shannon Gray's NPI (1245553502) is active in the NPPES registry as of the last update on 2010-03-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.