Michael Griswold (NPI# 1972575694, PAC ID# 4082702154) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1972575694 |
| PAC ID by PECOS | 4082702154 |
| Professional Enrollment ID | I20100526000115 |
| Full Name | Michael Griswold |
| Organization Legal Name | CAPITAL REGION MEDICAL CENTER |
| Address |
103 N Hwy 54 E Capital Region Physicians Eldon MO 65026-2005 |
| Phone Number | 5733922124 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4688573686 |
| Number of Group Practice Members | 145 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260047 | CAPITAL REGION MEDICAL CENTER |
| 260186 | LAKE REGIONAL HEALTH SYSTEM |
| 260011 | SSM HEALTH ST MARY'S HOSPITAL JEFFERSON CITY |
| 260141 | UNIVERSITY OF MISSOURI HOSPITAL & CLINICS |
| Address | Phone | Organization |
|---|---|---|
| 103 N Hwy 54 E, Capital Region Physicians, Eldon, MO 65026-2005 | 5733922124 | CAPITAL REGION MEDICAL CENTER |
| 1500 Southwest Blvd, Jefferson City, MO 65109-2472 | CAPITAL REGION MEDICAL CENTER | |
| 901 Kidwell Dr, Versailles, MO 65084-1784 | 5733784666 | CAPITAL REGION MEDICAL CENTER |
| Organization Legal Name | CAPITAL REGION MEDICAL CENTER |
| Physicians | 123 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan Lipasek | Nurse Practitioner | Capital Region Medical Center | 704 W Buchanan St, Capital Region Physicians, California, MO 65018-1228 |
| Megan E Hilderbrand | Certified Registered Nurse Anesthetist (crna) | Capital Region Medical Center | 1125 Madison St, Jefferson City, MO 65101-5227 |
| Dayna Patterson | Nurse Practitioner | Capital Region Medical Center | 3308 W Edgewood Dr B, Capital Reg Hlth Branch W, Jefferson City, MO 65109-6891 |
| Jennifer L Adelman | Nurse Practitioner | Capital Region Medical Center | 1014 Madison St, Jefferson City, MO 65101-3458 |
| John Starke | Clinical Social Worker | Capital Region Medical Center | 1432 Southwest Blvd, Jefferson City, MO 65109-2444 |
| Purvi G Patel | Internal Medicine | Capital Region Medical Center | 1505 Southwest Blvd, Jefferson City, MO 65109-2431 |
| Charles P Coyne Iii | Family Medicine | Capital Region Medical Center | 3536 Kuhne Rd, Owensville, MO 65066-2573 |
| Michael Dewayne Roach | Family Medicine | Capital Region Medical Center | 1500 Southwest Blvd, Suite D, Jefferson City, MO 65109-2472 |
| Timothy Craig Galbraith | Orthopedic Surgery | Capital Region Medical Center | 3308 W Edgewood Dr A, Capital Region Physicians, Jefferson City, MO 65109-6891 |
| Joseph C Rakestraw | Family Medicine | Capital Region Medical Center | 631 S Walnut St, Capital Region Physicians, St Elizabeth, MO 65075-2440 |
| Street Address |
103 N HWY 54 E CAPITAL REGION PHYSICIANS |
| City | ELDON |
| State | MO |
| Zip | 65026-2005 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jerry D King | Optometry | Eldon Family Focus Eyecare LLC | 115 N Oak St, Eldon, MO 65026-1444 |
| Zubair A Khan | Cardiovascular Disease (cardiology) | Lake Regional Medical Management, Inc. | 416 S Maple C, Lake Regional Clinic Eldon, Eldon, MO 65026-1808 |
| Manuel Mendez | Clinical Social Worker | Compass Health Inc | 206 S Mill St, Eldon, MO 65026-1864 |
| Josetta E Wahwassuck | Nurse Practitioner | Compass Health Inc | 206 S Mill St, Eldon, MO 65026-1864 |
| Lynn Marty | Nurse Practitioner | Capital Region Medical Center | 103 N Hwy 54, Capital Region Med Clinic Eldon, Eldon, MO 65026-2005 |
| David S Carron | Podiatry | 103 N Business, Suite 54, Eldon, MO 65026-2005 |
| City | ELDON |
| Zip Code | 65026 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ELDON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Michael Griswold.
| 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.