<Unavail>
LBN: Scott Grigory, Md, Pc
<Unavail> is an health care organization with primary practice located at 1 W Main St Suite 100, Idabel OK 74745-4654. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Urgent Care. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty.
Scott Grigory, Md, Pc can be contacted via phone (580) 579-3385, or through Grigory, Scott Martin via phone (580) 579-3385.
Contact Information
Primary practice address
1 W Main St Suite 100
Idabel OK 74745-4654
Phone: (580) 579-3385
Fax:
Website:
Authorized official contact:
Name: Grigory, Scott Martin Doctor of Medicine (MD)
Phone: (580) 579-3385
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25241 | Oklahoma |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 25241 | Oklahoma |
| Ambulatory Health Care Facilities / Urgent Care | 261QU0200X | 25241 | Oklahoma |
Profile Details
| NPI number | 1790174993 |
|---|---|
| LBN Legal business name | Scott Grigory, Md, Pc |
| DBA Doing business as | <Unavail> |
| Authorized official | Grigory, Scott Martin Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 12th, 2015 |
| Last updated | Oct 3rd, 2017 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790174993 | NPPES |
| Oklahoma | MEDICAID | 200097850A |
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