Timothy L Grode


Address: 4300 W Memorial Rd Fl, 2 Edmond Amg Specialty Hospital Mercy, Oklahoma City, OK 73120-8304

Timothy L Grode (NPI# 1639164163, PAC ID# 1658277603) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PULMONARY DISEASE.

Physician Overview

Nation Provider ID (NPI) 1639164163
PAC ID by PECOS 1658277603
Professional Enrollment ID I20031210000499
Full Name Timothy L Grode
Address 4300 W Memorial Rd Fl
2 Edmond Amg Specialty Hospital Mercy
Oklahoma City
OK 73120-8304
Gender M
Credential MD
Graduation Year 1978
Primary Specialty PULMONARY DISEASE
Secondary Specialties INTERNAL MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
370013 MERCY HOSPITAL OKLAHOMA CITY, INC

Other Locations

Address Phone Organization
13313 N Meridian Ave C, Mercy Clinic, Oklahoma City, OK 73120-8316 4052549676 MERCY CLINIC OKLAHOMA COMMUNITIES
4300 W Memorial Rd Fl, 2 Edmond Amg Specialty Hospital Mercy, Oklahoma City, OK 73120-8304

Organization Information

Office Location

Street Address 4300 W MEMORIAL RD FL
2 EDMOND AMG SPECIALTY HOSPITAL MERCY
City OKLAHOMA CITY
State OK
Zip 73120-8304

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Competitor

Search similar physicians

City OKLAHOMA CITY
Zip Code 73120
Specialty PULMONARY DISEASE
City + Specialty OKLAHOMA CITY + PULMONARY DISEASE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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