Provider Demographics
NPI:1831175934
Name:MAY, GAYLE LYNN (MD)
Entity type:Individual
Prefix:
First Name:GAYLE
Middle Name:LYNN
Last Name:MAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 E 6TH ST
Mailing Address - Street 2:
Mailing Address - City:VALLEY CENTER
Mailing Address - State:KS
Mailing Address - Zip Code:67147-2618
Mailing Address - Country:US
Mailing Address - Phone:704-787-0722
Mailing Address - Fax:
Practice Address - Street 1:301 E 6TH ST
Practice Address - Street 2:
Practice Address - City:VALLEY CENTER
Practice Address - State:KS
Practice Address - Zip Code:67147-2618
Practice Address - Country:US
Practice Address - Phone:704-787-0722
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-20
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2006-00294207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1415FOtherBCBS NC
NC5903601Medicaid
NC200869OtherMEDCOST
NC1831175934Medicaid
NC1415FOtherBCBS NC
NC5903601Medicaid
NC2051950AMedicare PIN