Mark Leslie Griswold, D.O.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

2799 Issued in AZ

Practice address

1521 E Tangerine Rd
Suite 301
Oro Valley, AZ 85755-6225

Phone

(520) 797-9700

Fax

(520) 797-0600

NPI assigned

Dec 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196121600000",
    "number": "1336200039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69610",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857370019",
            "telephone_number": "520-797-9700",
            "fax_number": "520-797-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 E TANGERINE RD",
            "address_2": "SUITE 301",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857556225",
            "telephone_number": "520-797-9700",
            "fax_number": "520-797-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISWOLD",
        "first_name": "MARK",
        "middle_name": "LESLIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "2799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bianca Gracia
• Christopher Grantham, M.D.
• Thomas F Griffin Jr., M.D.
• Michelle Griffith, SA-C
• Alina M. Grigore, MD
• Jay Grossman, MD
• Brianna Gruenwald, PA-C
• Guardian Pharmacy of Arizona, LLC
• Guardian Pharmacy of Tucson LLC
• Barbara Elaine Guerrero, PHARMD

• Ophthalmology Physician in Oro Valley, AZ
• Providers in Oro Valley, AZ by specialty
• Ophthalmology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.