GRADY MEMORIAL HOSPITAL (NPI# 1407252596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407252596 |
| Entity Type | Organization |
| Organization Name | GRADY MEMORIAL HOSPITAL |
| Other Organization Name | FOMG AT ANADARKO |
| Practice Address |
1002 E Central Blvd Anadarko OK 73005-4405 |
| Mailing Address |
2100 W Iowa Ave Chickasha OK 73018-2736 |
| Practice Telephone | 4052472551 |
| Mailing Telephone | 4057792834 |
| Mailing Fax Number | 4057792143 |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2014-11-17 |
| Authorized Official Name | WARREN SPELLMAN (CEO) |
| Authorized Official Telephone | 4057792150 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 24762 | OK | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| FOMG at Anadarko | 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 |
| 1578930871 | Grady Memorial Hospital | Orthopaedic Surgery | 1407 N Whisenant Dr, Duncan, OK 73533-1650 | 2015-08-22 |
| 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 |
| Oklahoma Business Registrations | GRADY MEMORIAL HOSPITAL FOUNDATION, INC | 2220 Iowa Ave, Chickasha, OK 73018 |
| Oklahoma Business Registrations | GRADY MEMORIAL HOSPITAL FOUNDATION, INC. |
| Street Address |
1002 E CENTRAL BLVD |
| City | ANADARKO |
| State | OK |
| Zip Code | 73005-4405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104867514 | Paul Walter Crowl | Physician Assistant | 1002 E Central Blvd, Anadarko, OK 73005-4405 | 2006-06-08 |
| 1558983957 | Wendy Marie Brown | Nurse Practitioner | 1002 E Central Blvd, Anadarko, OK 73005-4405 | 2020-05-08 |
| 1154986230 | Megan Nicole Werschem | Student in an Organized Health Care Education/Training Program | 1002 E Central Blvd, Anadarko, OK 73005-4405 | 2019-05-05 |
| 1770008245 | Allison Jennie Dunshie | Occupational Therapist | 1002 E Central Blvd, Anadarko, OK 73005-4405 | 2017-08-07 |
| 1912458647 | Physicans Hospital In Anadarko | General Acute Care Hospital | 1002 E Central Blvd, Anadarko, OK 73005-4405 | 2016-10-18 |
| 1588115224 | Justin Caldwell | Physical Therapist | 1002 E Central Blvd, Anadarko, OK 73005-4405 | 2016-10-18 |
| 1821467069 | Grady Memorial Hospital | Nurse Anesthetist, Certified Registered | 1002 E Central Blvd, Anadarko, OK 73005-4405 | 2015-09-17 |
| 1710165626 | Rha Anadarko LLC | General Acute Care Hospital | 1002 E Central Blvd, Anadarko, OK 73005-4496 | 2008-02-01 |
| 1124222500 | Acadiana Healthcare of Oklahoma, Inc. | General Acute Care Hospital | 1002 E Central Blvd, Anadarko, OK 73005-4405 | 2007-06-12 |
| 1730390857 | Rha Anadarko, LLC | Emergency Medicine | 1002 E Central Blvd, Anadarko, OK 73005-4405 | 2007-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548810534 | Wichita and Affiliated Tribes | In Home Supportive Care | 1 1/4 Mi. N Hwy 281, Anadarko, OK 73005 | 2019-09-12 |
| 1750891149 | Anadarko Nursing & Rehabilitation LLC | Nursing Facility/Intermediate Care Facility | 300 West Washington, Anadarko, OK 73005 | 2017-10-11 |
| 1457725582 | Phuong Vu | Pharmacist | 201 East Parker Mckenzie Drive, Anadarko, OK 73005 | 2015-12-01 |
| 1659745412 | Joel Wolfe | Licensed Practical Nurse | 201 East Parker Mckenzine Drive, Anadarko, OK 73005 | 2015-11-17 |
| 1891940045 | Gordon Ray Whitewolf | Counselor | 101 Riverside Drive, Riverside Indian School, Anadarko, OK 73005 | 2008-12-01 |
| 1255362646 | Gregory Dale Clift | Optometrist | 115 N. E. Oldtown Dr, Anadarko, OK 73005 | 2006-07-05 |
| 1538190921 | Marc Anthony Clanton | Psychologist | N.e. 115 Old Town Road, Anadarko, OK 73005 | 2006-07-05 |
| 1083071575 | Mildred Gomez | Registered Nurse | 201 East Parker Mckenzine Drive, Anadarko, OK 73005 | 2016-01-28 |
| 1124484324 | Rose H. Autaubo | Licensed Practical Nurse | 201 East Parker Mckenzie Drive, Anadarko, OK 73005 | 2016-01-05 |
| 1558726190 | Juliana Lonewolf | Registered Nurse | 201 East Parker Mckenzie Drive, Anadarko, OK 73005 | 2015-12-28 |
| Find all providers in zip 73005 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215023627 | Danilo E. Oliveros | General Practice | 115 Ne Oldtown Drive, Anadarko, OK 73005-0828 | 2006-10-04 |
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|---|---|---|---|---|
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| 1669080891 | Prairie Gardens Medical LLC | General Practice | 1213 Nw 122nd St Ste 401, Oklahoma City, OK 73114-7000 | 2020-07-14 |
| 1801431135 | Cristina Elisa Collazo-suarez | General Practice | 401 Nw 76th St, Lawton, OK 73505-5338 | 2019-11-11 |
| 1578117859 | Tulsa Wellness Management, LLC | General Practice | 3501 S Yale Ave Ste A, Tulsa, OK 74135-8014 | 2019-07-25 |
| 1053875781 | Oumi Clinics LLC | General Practice | 1200 Childrens Ave Ste 11200, Oklahoma City, OK 73104-4637 | 2019-01-28 |
| 1902396294 | Gail Renee Marchant | General Practice | 8784 E 105th Ct, Tulsa, OK 74133-7063 | 2018-05-13 |
| 1528578499 | Revive Medical LLC | General Practice | 4215 N Classen Blvd Ste 103, Oklahoma City, OK 73118 | 2017-10-05 |
| 1992214548 | Lifestyle Medical Center, Pllc | General Practice | 4505 S Harvard Ave, Tulsa, OK 74135-2905 | 2017-09-27 |
| 1265884449 | Turning Point Health LLC | General Practice | 736 W Main St, Jenks, OK 74037-3519 | 2016-07-12 |
| 1891149647 | Daniel Enriquez | General Practice | 1040 7050 S Air Depot Blvd, Oklahoma City, OK 73135 | 2016-04-18 |
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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.