GRAY DERM PLLC – NPI #1104392679
Dermatology

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Health Care Provider Taxonomy Code for Dermatology

GRAY DERM PLLC is a dermatologist located in LIMA, OH. NPPES has assigned the NPI number 1104392679 to GRAY DERM PLLC on October 22, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207N00000X from the Health Care Provider Taxonomy code set, which is classified as Dermatology.

The NPI profile was last updated on Feb 04, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GRAY DERM PLLC below.

NPI Profile for
GRAY DERM PLLC

NPI Number
1104392679
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GRAY DERM PLLC
Other name(s)
All associated names:
Doing Business As (dba)
Gray Derm LLC
Doing Business As (dba)
Gray Dermatology & Cosmetic Surgery
Primary location
750 W HIGH ST STE 300
LIMA, OH 45801-2967
Phone: (419) 229-6781 Fax: (614) 386-9506
2 Other location(s):
609 E Chestnut St
Lancaster, OH 43130-3900
Phone: (740) 206-7131
1005 Bellefontaine Ave Ste 300
Lima, OH 45804-2881
Phone: (419) 998-8297
Fax: (419) 226-8309
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BRYAN GRAY
DO/PRACTICE OWNER
Phone: (614) 596-6789
Updated
Certification Date
Feb 04, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for GRAY DERM PLLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherMI LICENSEMI5101021720
otherOH LICENSEOH34.013501
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207N00000X
- Dermatology (Primary)
207ND0101X
- Dermatology / MOHS-Micrographic Surgery

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
DIRECT MESSAGING
Content Type
CSV
Affiliation
N
Endpoint Location
525 N EASTOWN RD STE A,
LIMA, OH 77025-1669