Active NPI
Michael Henry Grandison, DO
- General Practice Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- P7770
- Practice address
- 711 Stanton L Young Blvd Ste 215
Oklahoma City, OK 73104-5021 - Phone
- (405) 271-4113
- NPI assigned
- Jun 13, 2008
- Last updated
- Jul 23, 2025
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | P7770 | TX | Primary |
Addresses
Primary practice location
711 Stanton L Young Blvd Ste 215
Oklahoma City, OK 73104-5021
Mailing address
711 Stanton L Young Blvd Ste 215
Oklahoma City, OK 73104-5021
Phone (405) 271-4113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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
- General Practice
- Education
- Oklahoma State University College of Osteopathic Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 N I 35
Desoto, TX 75115-3509
Phone (972) 521-1347
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P7770 | TX | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care, P.a. | Current | Accepting new patients | |
| American Current Care P.a. | Current | Accepting new patients | |
| American Current Care, P.a. | Current | Accepting new patients | |
| Board of Regents of the Univ of Oklahoma | Past | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
15810 Midway Rd
Addison, TX 75001
Phone (972) 458-8111
5080 Spectrum Dr
Ste 1200W
Addison, TX 75001
4025 Spid Dr
Corpus Christi, TX 78411
Phone (361) 852-8255
1111 N Interstate 35 E
Desoto, TX 75115
Phone (469) 530-9220
1002 Abc Ave
Ste 600
Freeport, TX 77541
Phone (979) 233-6571
12345 Katy Fwy
Houston, TX 77079
Phone (281) 679-5600
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Health Service Clinic/Center
- Addison, TX
- NPI 1275651002
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Beaumont, TX
- NPI 1376356568
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Addison, TX
- NPI 1922289156
-
- Clinic/Center
- Oklahoma City, OK
- NPI 1679725782
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753228800000",
"number": "1346400298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 STANTON L YOUNG BLVD STE 215",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045021",
"telephone_number": "405-271-4113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 STANTON L YOUNG BLVD STE 215",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045021",
"telephone_number": "405-271-4113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANDISON",
"first_name": "MICHAEL",
"middle_name": "HENRY",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-13",
"last_updated": "2025-07-23",
"certification_date": "2025-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "TX",
"license": "P7770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; 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.