GRADY MEMORIAL HOSPITAL (NPI# 1073032660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073032660 |
| Entity Type | Organization |
| Organization Name | GRADY MEMORIAL HOSPITAL |
| Other Organization Name | FOMG WOUND CARE |
| Practice Address |
2815 W Elk Ave Duncan OK 73533-1517 |
| Mailing Address |
2100 W Iowa Ave Chickasha OK 73018-2736 |
| Practice Telephone | 5802523400 |
| Practice Fax Number | 4057792310 |
| Mailing Telephone | 4052242100 |
| Mailing Fax Number | 4057792310 |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2017-09-15 |
| Authorized Official Name | WARREN K. SPELLMAN (CEO) |
| Authorized Official Telephone | 4057792150 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 239 | OK | Podiatric Medicine & Surgery Service Providers |
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| FOMG Wound Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619991098 | Grady Memorial Hospital | Durable Medical Equipment & Medical Supplies | 2100 W Iowa Ave Ste A, Chickasha, OK 73018-2736 | 2006-07-27 |
| 1578592788 | Grady Memorial Hospital | Family Medicine | 113 South Rush Ave, Rush Springs, OK 73082-0277 | 2006-07-01 |
| 1538169198 | Grady Memorial Hospital | General Acute Care Hospital | 2220 W Iowa Ave, Chickasha, OK 73018-2738 | 2005-07-26 |
| 1164941324 | Grady Memorial Hospital | Clinic/Center | 3200 Quail Springs Pkwy Ste 200, Oklahoma City, OK 73134-2699 | 2017-09-19 |
| 1437698784 | Grady Memorial Hospital | Surgery | 1104 E Central Blvd, Anadarko, OK 73005-4406 | 2017-02-20 |
| 1821467069 | Grady Memorial Hospital | Nurse Anesthetist, Certified Registered | 1002 E Central Blvd, Anadarko, OK 73005-4405 | 2015-09-17 |
| 1740659986 | Grady Memorial Hospital | Nurse Anesthetist, Certified Registered | 1407 N Whisenant Dr, Duncan, OK 73533-1650 | 2015-09-17 |
| 1578930871 | Grady Memorial Hospital | Orthopaedic Surgery | 1407 N Whisenant Dr, Duncan, OK 73533-1650 | 2015-08-22 |
| 1407252596 | Grady Memorial Hospital | General Practice | 1002 E Central Blvd, Anadarko, OK 73005-4405 | 2014-11-17 |
| 1164859260 | Grady Memorial Hospital | Family Medicine | 2100 W Iowa Ave, Suite A, Chickasha, OK 73018-2736 | 2013-10-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GRADY MEMORIAL HOSPITAL | 2220 Iowa Ave, Chickasha, OK 73018-2738 |
| Oklahoma Business Registrations | GRADY MEMORIAL HOSPITAL FOUNDATION, INC | 2220 Iowa Ave, Chickasha, OK 73018 |
| Oklahoma Business Registrations | GRADY MEMORIAL HOSPITAL FOUNDATION, INC. |
| Street Address |
2815 W ELK AVE |
| City | DUNCAN |
| State | OK |
| Zip Code | 73533-1517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346232279 | William E Beeson | Dentist | 2815 W Elk Ave, Suite B, Duncan, OK 73533-1574 | 2005-08-17 |
| 1407223936 | Lyndal Morgan | Nurse Practitioner | 2815 W Elk Ave, Duncan, OK 73533-1517 | 2015-09-01 |
| 1366504979 | Duncan Regional Orthopaedic Associates Inc | Orthopaedic Surgery | 2815 W Elk Ave, Suite A, Duncan, OK 73533-1591 | 2006-12-14 |
| 1164584777 | Thomas J Eiser | Orthopaedic Surgery | 2815 W Elk Ave, Duncan, OK 73533-1591 | 2006-12-14 |
| 1699837203 | Paul J Powers | Physician Assistant | 2815 W Elk Ave, Duncan, OK 73533-1591 | 2006-12-14 |
| 1932261450 | Danny W Giles | Orthopaedic Surgery | 2815 W Elk Ave, Suite A, Duncan, OK 73533-1591 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730723362 | Stefanie Alexis Dubicki | Physician Assistant | 1120 Us-81 N, Duncan, OK 73533 | 2019-11-06 |
| 1568935898 | Grace Elizabeth Peters | Physician Assistant | 1120 Us 81, Duncan, OK 73533 | 2019-01-09 |
| 1427406487 | Joseph Suarez | Behavioral Analyst | 23 N 8th, Duncan, OK 73533 | 2016-06-01 |
| 1386086148 | Andrea R Daughtrey | Behavioral Analyst | 209 S 21 St, Duncan, OK 73533 | 2013-07-22 |
| 1578830873 | Carlton D. Mitchell II | Social Worker | 1919 Elk, Duncan, OK 73533 | 2011-11-30 |
| 1336460468 | Dawn Price | Counselor | 7 1/2 N. 8th St, Duncan, OK 73533 | 2010-06-11 |
| 1740416395 | Sanford Clinic | Pediatrics | 2502 W. Elk Ave., Duncan, OK 73533 | 2009-06-09 |
| 1972788222 | Thelma Joann Dillard | Dentist | 1415 W Main Street, Duncan, OK 73533 | 2008-01-07 |
| 1659560548 | Julia Gayle Case | Nurse Practitioner | 2004 North Hwy 81, Duncan, OK 73533 | 2007-10-17 |
| 1407060395 | Cynthia Annette Browning | Speech-Language Pathologist | 1400 Whisenant, Duncan, OK 73533 | 2007-05-09 |
| Find all providers in zip 73533 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932395191 | Crow Family Medicine Clinic, PC | Clinic/Center | 1606 W Jones Ave, Duncan, OK 73533-1727 | 2007-09-21 |
| 1184863334 | Brendhan M. Fritts Od PC | Clinic/Center | 14 S 8th St, Duncan, OK 73533-4906 | 2009-02-11 |
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| 1154949642 | Osu Center for Health Sciences | Clinic/Center | 140 W 151st St S, Glenpool, OK 74033-4523 | 2020-07-10 |
| 1235757071 | Equality Health Group LLC | Clinic/Center | 4301 Nw 63rd St Ste 109, Oklahoma City, OK 73116-1548 | 2020-07-08 |
| 1538785985 | Stars and Stripes Therapy Inc. | Clinic/Center | 713 Sw C Ave Ste A, Lawton, OK 73501-4311 | 2020-06-22 |
| 1265058101 | Taylor Medical Group, LLP | Clinic/Center | 735 W Locust St, Stilwell, OK 74960-3403 | 2020-06-16 |
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| 1093341844 | Osu Center for Health Sciences | Clinic/Center | 3201 W Gore Blvd Ste G2, Lawton, OK 73505-6323 | 2020-03-12 |
| 1255964128 | Osu Center for Health Sciences | Clinic/Center | 110 Nw 31st St Fl 3, Lawton, OK 73505-6100 | 2020-02-19 |
| 1104458231 | Osu Center for Health Sciences | Clinic/Center | 6501 S Western Ave Ste 101, Oklahoma City, OK 73139-1709 | 2020-02-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.