Active NPI
Carl Russell Griesser, MD
- Family Medicine Physician
- Medford, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD155331
- Practice address
- 2828 E Barnett Rd
Medford, OR 97504-8342 - Phone
- (541) 789-8000
- Fax
- (541) 789-8225
- NPI assigned
- Nov 21, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD155331 | OR | Primary |
Addresses
Primary practice location
2828 E Barnett Rd
Medford, OR 97504-8342
Mailing address
2825 E Barnett Rd
MSS
Medford, OR 97504-8332
Phone (541) 789-4281
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 067665 | Other | OR | OMAP |
| 227698 | Medicaid | OR | |
| 500642273 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Arizona College of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
555 Black Oak Dr
Medford, OR 97504-8491
625 SW Ramsey Ave
Suite a
Grants Pass, OR 97527-5808
Phone (541) 507-2290
Hospital & facility affiliations
- Asante Rogue Regional Medical Center
- Asante Ashland Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Asante Physician Partners | Family Medicine | Current | Accepting new patients |
| Ashland Emergency Associates, P.C. | Past | Accepting new patients |
Locations
280 Maple St
Ashland, OR 97520
Phone (541) 201-4000
625 SW Ramsey Ave
Ste A
Grants Pass, OR 97527
Phone (541) 474-5004
555 Black Oak Dr
Ste 100
Medford, OR 97504
Phone (541) 774-5894
2825 E Barnett Rd
Medford, OR 97504
Phone (541) 282-6770
2828 E Barnett Rd
Medford, OR 97504
Phone (541) 774-5853
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Medford, OR
- NPI 1922381326
-
- Emergency Medicine Physician
- Ashland, OR
- NPI 1255393419
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Medford, OR
- NPI 1770587107
-
- General Acute Care Hospital
- Ashland, OR
- NPI 1730628827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702944000000",
"number": "1316214281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2825 E BARNETT RD",
"address_2": "MSS",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975048332",
"telephone_number": "541-789-4281",
"fax_number": "541-789-4806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2828 E BARNETT RD",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975048342",
"telephone_number": "541-789-8000",
"fax_number": "541-789-8225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIESSER",
"first_name": "CARL",
"middle_name": "RUSSELL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-21",
"last_updated": "2023-12-19",
"certification_date": "2021-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD155331",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OMAP",
"identifier": "067665",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "227698",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500642273",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.