Richard R Grayson MD PC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

RICHARD R GRAYSON MD PC

Practice address

330 Maple LN
Batavia, IL 60510-1204

Phone

(630) 377-7073

Fax

(630) 406-1380

NPI assigned

Apr 16, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Richard R Grayson, M.D.

Title

Pres

Phone

(630) 377-7073

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1093989576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 MAPLE LN",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605101204",
            "telephone_number": "630-377-7073",
            "fax_number": "630-406-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 MAPLE LN",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605101204",
            "telephone_number": "630-377-7073",
            "fax_number": "630-406-1380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD R GRAYSON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "GRAYSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "630-377-7073",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1205859295",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Adult Medicine Physician in Batavia, IL
• Providers in Batavia, IL by specialty
• Adult Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.