GRADY MEMORIAL HOSPITAL (NPI# 1578930871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578930871 |
| Entity Type | Organization |
| Organization Name | GRADY MEMORIAL HOSPITAL |
| Other Organization Name | FIVE OAKS AT DUNCAN |
| Practice Address |
1407 N Whisenant Dr Duncan OK 73533-1650 |
| Mailing Address |
2220 W Iowa Ave Chickasha OK 73018-2738 |
| Practice Telephone | 5802525300 |
| Mailing Telephone | 4057792721 |
| Mailing Fax Number | 4057792310 |
| Enumeration Date | 2015-08-22 |
| Last Update Date | 2015-08-22 |
| Authorized Official Name | WARREN KEAN SPELLMAN (CEO) |
| Authorized Official Telephone | 4057792150 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Five Oaks at Duncan | 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 |
| 1073032660 | Grady Memorial Hospital | Podiatrist | 2815 W Elk Ave, Duncan, OK 73533-1517 | 2017-09-14 |
| 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 |
| 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 |
| Street Address |
1407 N WHISENANT DR |
| City | DUNCAN |
| State | OK |
| Zip Code | 73533-1650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851396394 | Duncan Regional Hospital, Inc. | General Acute Care Hospital | 1407 N Whisenant Dr, Duncan, OK 73533-1650 | 2005-06-20 |
| 1700404910 | Elizabeth Danielle Gardner | Clinical Nurse Specialist | 1407 N Whisenant Dr, Duncan, OK 73533-1650 | 2020-07-14 |
| 1104314103 | Caylin Lynch | Physical Therapist | 1407 N Whisenant Dr, Duncan, OK 73533-1650 | 2018-04-25 |
| 1952851990 | Vera Budlong | Registered Nurse | 1407 N Whisenant Dr, Duncan, OK 73533-1650 | 2016-10-13 |
| 1861942708 | Jed Dinh Nguyen | Nurse Practitioner | 1407 N Whisenant Dr, Duncan, OK 73533-1650 | 2016-10-04 |
| 1962850438 | Chelsea Nicole Raby | Physician Assistant | 1407 N Whisenant Dr, Duncan, OK 73533 | 2016-05-25 |
| 1710345129 | Kayla Dawn Michel | Dietitian, Registered | 1407 N Whisenant Dr, Duncan, OK 73533-1650 | 2016-02-01 |
| 1477911840 | Jessica Renee Weddington-nunez | Dietitian, Registered | 1407 N Whisenant Dr, Food and Nutrition Services, Duncan, OK 73533-1650 | 2016-02-01 |
| 1053776641 | Dustin D Rhoades | Physical Therapy Assistant | 1407 N Whisenant Dr, Duncan, OK 73533-1650 | 2015-12-23 |
| 1740659986 | Grady Memorial Hospital | Nurse Anesthetist, Certified Registered | 1407 N Whisenant Dr, Duncan, OK 73533-1650 | 2015-09-17 |
| Find all providers in the same location | ||||
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164751525 | Juan Adrian Cornejo | Obstetrics & Gynecology | 2115 Duncan Regional Loop, Duncan, OK 73533-1570 | 2009-12-15 |
| 1235365669 | Joseph C Mitro, Md, PC | Obstetrics & Gynecology | 2115 Duncan Regional Loop Road, Duncan, OK 73533-1514 | 2009-05-29 |
| 1083895031 | Women's Health Care of Duncan, Pllc | Obstetrics & Gynecology | 1312 N Harville Rd, Duncan, OK 73533-1514 | 2007-11-19 |
| 1194861021 | Kimberly M. Weaver | Obstetrics & Gynecology | 1312 North Harville Rd, Duncan, OK 73533 | 2007-01-29 |
| 1538255443 | John Russell Young | Obstetrics & Gynecology | 2120 W Elk Ave Rm 5, Duncan, OK 73533-1576 | 2006-10-05 |
| 1639307481 | Kimberly M. Weaver, Md, PC | Obstetrics & Gynecology | 1312 North Harville Rd, Duncan, OK 73533 | 2009-06-30 |
| 1144466251 | Spartanburg Medical Center | Obstetrics & Gynecology | 1575 E Main St, Duncan, SC 29334-9218 | 2008-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144836206 | Saints Medical Group, LLC | Obstetrics & Gynecology | 5604 Se 67th St, Oklahoma City, OK 73135-1719 | 2020-09-23 |
| 1780201467 | Wesley Vaughan Md, Pllc | Obstetrics & Gynecology | 13921 N Meridian Ave Ste 200, Oklahoma City, OK 73134-1104 | 2020-06-29 |
| 1275016305 | Breathe Birth & Wellness, LLC | Obstetrics & Gynecology | 4800 W San Antonio St Ste 101, Broken Arrow, OK 74012-6127 | 2018-09-14 |
| 1902387475 | William Patrick Gideon | Obstetrics & Gynecology | 4617 Summerfield Ct, Norman, OK 73072-3934 | 2018-08-23 |
| 1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
| 1003307935 | Mary Katlin Nixon | Obstetrics & Gynecology | 800 Stanton L Young Blvd Ste 2319, Oklahoma City, OK 73104 | 2018-05-26 |
| 1619470184 | Linzi L Stewart, D.o., P.l.l.c. | Obstetrics & Gynecology | 10400 S Western Ave Ste 7, Oklahoma City, OK 73139 | 2018-03-12 |
| 1134649536 | Rupert R Thomas Md PC | Obstetrics & Gynecology | 1800 Renaissance Blvd Ste 210, Edmond, OK 73013-3023 | 2017-06-27 |
| 1568917037 | Chris A Lane Do Inc PC | Obstetrics & Gynecology | 4505 Blackberry Run, Oklahoma City, OK 73112-6157 | 2016-08-24 |
| 1881041879 | Paige Percer | Obstetrics & Gynecology | Rr 1 Box 835, Boswell, OK 74727-9726 | 2016-05-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GRADY MEMORIAL HOSPITAL.
| 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.