THERESA MARY GRAIF


Address: 1200 Everett Dr Rm 8305, Oklahoma City, OK 73104-5047
Phone: 4052715211

THERESA MARY GRAIF (NPI# 1417213943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417213943
Entity Type Individual
Full Name THERESA MARY GRAIF
Credential M.D.
Practice Address 1200 Everett Dr Rm 8305
Oklahoma City
OK 73104-5047
Practice Telephone 4052715211
Mailing Telephone 4052715211
Enumeration Date 2012-04-10
Last Update Date 2019-05-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208000000X Pediatrics MD172189 OR Allopathic & Osteopathic Physicians
Y 2080P0203X Pediatrics
Specialization: Pediatric Critical Care Medicine
34510 OK Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 1200 EVERETT DR RM 8305
City OKLAHOMA CITY
State OK
Zip Code 73104-5047

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NPI Name Taxonomy Address Enumeration
1356979645 Kayla Campbell Dietitian, Registered Stephenson Cancer Center, 800 Ne 10th Street, Oklahoma City, OK 73104 2020-03-31
1447715453 Roman Michael Garcia Dentist Ou Children's Physicians - Dental Clinic, 1200 Children's Ave, 8f, Oklahoma City, OK 73104 2019-02-04
1265902340 Jenna Lyn Celii Registered Nurse 920 Sl Young Blvd Ste 1140, Oklahoma City, OK 73104 2018-11-30
1407337462 Opus Medical, LLC Psychiatry & Neurology 4 Ne 10th St Suite 467, Oklahoma City, OK 73104 2018-08-27
1316433295 Syed Muhammad Shakaib Quadri Pathology 940 Stanton L. Young Blvd., Bmsb 451, Oklahoma City, OK 73104 2018-07-03
1447746417 Nimrah Bader Internal Medicine 800 Stanton L. Young Blvd., Aat 6300, Oklahoma City, OK 73104 2018-07-02
1417440793 Helen Judith Turkson Apetor Nurse Practitioner 700 Ne 13th, Oklahoma City, OK 73104 2018-06-11
1003307935 Mary Katlin Nixon Obstetrics & Gynecology 800 Stanton L Young Blvd Ste 2319, Oklahoma City, OK 73104 2018-05-26
1558851220 Bryce Yohannan Student in an Organized Health Care Education/Training Program 800 Stanton L Young Blvd, Aat 6300, Oklahoma City, OK 73104 2018-05-17
1346746690 Kacy Anne Richburg Orthopaedic Surgery 711 Stanton L Young Blvd Ste 111, Oklahoma City, OK 73104 2018-04-04
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Taxonomy Information

Taxonomy Code 2080P0203X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Critical Care Medicine

Taxonomy Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861422628 Randall M Schwartz Pediatrics 750 Ne 13th St Ste 200, Oklahoma City, OK 73104-5024 2006-07-04
1871126193 Jessica Scaramucci Pediatrics 1200 Childrens Ave, Oklahoma City, OK 73104-4637 2020-02-14
1922369610 Steven Nye Pediatrics 3300 Nw Expressway, Oklahoma City, OK 73112 2012-05-30
1972635134 Emilie Henry Pediatrics 1200 Everett Dr, Oklahoma City, OK 73104-5047 2007-03-12
1205864253 Pediatric Intensive Care Services Inc Pediatrics 3300 Nw Expressway St, #100 3135, Oklahoma City, OK 73112-4418 2006-06-29
1629013883 Johnny Ray Griggs Pediatrics 3300 Nw Expressway St, 100 3135, Oklahoma City, OK 73112-4418 2006-06-19
1215981881 Martin Alswang Pediatrics 3300 Nw Expressway, Oklahoma City, OK 73112-4418 2006-05-19
1881662054 Andrew K Gormley Pediatrics 940 Ne 13th St, 6g6115, Oklahoma City, OK 73104-5008 2006-03-14
1154399426 Morris R Gessouroun Pediatrics 940 Ne 13th St, 6g6115, Oklahoma City, OK 73104-5008 2006-03-10
1972571271 Helen C Allen Pediatrics 940 Ne 13th St, 2b2416, Oklahoma City, OK 73104-5008 2006-03-10
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Competitor

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City OKLAHOMA CITY
Zip Code 73104

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Dataset Information

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.

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