Justin Grisham, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

011215 Issued in AZ

Practice address

1311 N Mildred Rd
Cortez, CO 81321-2231

Phone

(970) 565-6666

NPI assigned

Feb 10, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO, KS, MI, AZ4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 4

Specialty

Emergency Medicine

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Innova Emergency Medical Associates PCGroup PAC ID 2860633435, 69 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kingman Regional Medical Center Hospital, Kingman, AZ, CCN 030055
• Southwest Memorial Hospital Hospital, Cortez, CO, CCN 061327

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: justingrisham@swhealth.cernerdirect.com

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.

• Innova Emergency Medical Associates PC

  • Emergency Medicine Physician
  • Trinidad, CO
  • NPI 1295178978

  AZ, KS

  Medicare reassignment Care Compare group NPD
• Emergency Service Physicians, Inc.

  • Emergency Medicine Physician
  • Wheat Ridge, CO
  • NPI 1326097668
  Medicare reassignment NPD
• Southwest Health System Inc

  • Critical Access Hospital
  • Cortez, CO
  • NPI 1649241571

  Emergency Medicine

  Medicare reassignment NPD
• Usacs Community Emergency Services of Colorado, Inc.

  • Emergency Medicine Physician
  • Arvada, CO
  • NPI 1053824979
  Medicare reassignment NPD
• Aspirus Iron River Hospital & Clinics, Inc.

  • Critical Access Hospital
  • Iron River, MI
  • NPI 1497750830
  Medicare reassignment NPD
• Emergency Service Physicians, Inc.

  • Emergency Medicine Physician
  • Aurora, CO
  • NPI 1548895048
  NPD
• Southwest Health System, Inc.

  • Pharmacy
  • Cortez, CO
  • NPI 1386917862
  NPD
• Usacs Community Emergency Services of Colorado, Inc.

  • Emergency Medicine Physician
  • Breckenridge, CO
  • NPI 1003549460
  NPD
• Aspirus Iron River Hospital & Clinics, Inc.

  • Rural Health Clinic/Center
  • Iron River, MI
  • NPI 1306344783
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Southwest Health System Inc

  • Critical Access Hospital
  • Cortez, CO
  • NPI 1649241571
  Care Compare affiliation
• Southwest Health System, Inc.

  • Land Ambulance
  • Cortez, CO
  • NPI 1679058184

  Hospital

  Care Compare affiliation
• Southwest Health System, Inc.

  • Non-emergency Medical Transport (VAN)
  • Cortez, CO
  • NPI 1992328074

  Hospital

  Care Compare affiliation
• Kingman Healthcare, Inc

  • General Acute Care Hospital
  • Kingman, AZ
  • NPI 1265423917
  Care Compare affiliation

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1427417062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9878 W BELLEVIEW AVE # 5114",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801232101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 N MILDRED RD",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813212231",
            "telephone_number": "970-565-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISHAM",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-10",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KS",
            "license": "05-49286",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "DR.0065361",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "011215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "justingrisham@swhealth.cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1311 N Mildred Rd",
            "city": "Cortez",
            "state": "CO",
            "country_code": "US",
            "postal_code": "813212231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alyssa Grams, LCSW
• Robert Green, D.O.
• Gerald Wayne Griebel, M.D.
• Marilyn Griebel, CNP
• Emilee A Griese Blair
• Tyson Craig Grose, DMD
• David L. Guy, D.MIN
• Stephanie Lynn Hackett, PHARMD
• Opie Jace Hainey, D.C.
• Megan Elyse Haley, DC

• Emergency Medicine Physician in Cortez, CO
• Providers in Cortez, CO by specialty
• Emergency Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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.

Verify at the official NPI Registry.