DR. JOHNNY RAY GRIGGS (NPI# 1629013883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629013883 |
| Entity Type | Individual |
| Full Name | DR. JOHNNY RAY GRIGGS |
| Credential | MD |
| Practice Address |
3300 Nw Expressway St 100 3135 Oklahoma City OK 73112-4418 |
| Mailing Address |
Po Box 963135 Okc OK 73196 |
| Practice Telephone | 4059474001 |
| Practice Fax Number | 4059486507 |
| Mailing Telephone | 4059478586 |
| Mailing Fax Number | 4059486507 |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2007-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
17823 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | AETNA | 5039058 | 01 |
| Street Address |
3300 NW EXPRESSWAY ST 100 3135 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73112-4418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558358929 | Neal S Templeton Do PC | Anesthesiology | 3300 Nw Expressway St, Oklahoma City, OK 73112-4418 | 2005-09-30 |
| 1396941613 | Danielle Nicole Minor | Physical Therapy Assistant | 3300 Nw Expressway St, Oklahoma City, OK 73112-4418 | 2007-06-23 |
| 1871796722 | Lawanda Stover Pickens | Nurse Practitioner | 3300 Nw Expressway St, Oklahoma City, OK 73112-4418 | 2007-06-07 |
| 1487775342 | William H Hall | Internal Medicine | 3300 Nw Expressway St, Dept#100-3444, Oklahoma City, OK 73112-4418 | 2007-04-02 |
| 1205969458 | Integris Baptist Associates | Pediatrics | 3300 Nw Expressway St, Oklahoma City, OK 73112-4418 | 2007-03-14 |
| 1710042536 | Deborah S Rogers | Nurse Practitioner | 3300 Nw Expressway St, Oklahoma City, OK 73112-4418 | 2006-12-22 |
| 1932264645 | Jose Luis Pineda | Pediatrics | 3300 Nw Expressway St, Oklahoma City, OK 73112-4418 | 2006-12-22 |
| 1962584425 | Vicki Sue Smith | Nurse Practitioner | 3300 Nw Expressway St, Oklahoma City, OK 73112-4418 | 2006-10-20 |
| 1295839280 | Ibmc Er Physicians | Emergency Medicine | 3300 Nw Expressway St, Oklahoma City, OK 73112-4418 | 2006-09-11 |
| 1376552570 | Yi Huang | Transplant Surgery | 3300 Nw Expressway St, Oklahoma City, OK 73112-4418 | 2006-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972145886 | Crystopher J Long | Physical Therapist | Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 | 2019-10-11 |
| 1700448974 | Joy Healthcare Services of Okc LLC | Home Health | 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 | 2019-07-08 |
| 1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
| 1306352521 | Victoria Ann Kappel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 | 2017-12-26 |
| 1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
| 1619414257 | Edwige Gwanyama | Student in an Organized Health Care Education/Training Program | 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 | 2017-01-20 |
| 1619424017 | Jennifer Beaver | Peer Specialist | 2808 Nw 31st, Oklahoma City, OK 73112 | 2016-09-02 |
| 1417305368 | Gabriel Plank | Counselor | 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 | 2016-06-01 |
| 1912364365 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4101 N May Ave, Oklahoma City, OK 73112 | 2016-01-15 |
| 1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
| Find all providers in zip 73112 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| 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) |
| 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 |
| 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 |
| 1881679074 | William J Banner Jr. | Pediatrics | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2005-12-09 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73112 |
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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.