DR. JOHNNY RAY GRIGGS


Address: 3300 Nw Expressway St, 100 3135, Oklahoma City, OK 73112-4418
Phone: 4059474001

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0203X Pediatrics
Specialization: Pediatric Critical Care Medicine
17823 OK Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OK AETNA 5039058 01

Office Location

Street Address 3300 NW EXPRESSWAY ST
100 3135
City OKLAHOMA CITY
State OK
Zip Code 73112-4418

Providers in the same location

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
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Providers in the same zip code

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
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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
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
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Competitor

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City OKLAHOMA CITY
Zip Code 73112

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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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