Gracehealth, PLLC

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

27754 Issued in OK

Legal business name

GRACEHEALTH, PLLC

Practice address

18213 Bodegon Rd
Edmond, OK 73012-5905

Phone

(469) 230-4700

NPI assigned

Sep 11, 2015

Organization subpart

No

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

Authorized official

Name

Teney V John, MD

Title

Medical Provider

Phone

(469) 230-4700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441929600000",
    "number": "1497123046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18213 BODEGON RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730125905",
            "telephone_number": "469-230-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18213 BODEGON RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730125905",
            "telephone_number": "469-230-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEHEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-11",
        "last_updated": "2015-09-11",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "TENEY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "MEDICAL PROVIDER",
        "authorized_official_telephone_number": "469-230-4700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": "OK",
            "license": "27754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Gottschalk
• Meghan Goucher
• Robert D Gourley, MD
• Aaron Michael Gowens
• Cheryl Grace, M.S. CCC-SLP
• Graham Dermatology Center, P.C.
• Blake Graham
• Joni Lia Graham, LPC-CANDIDATE
• Kaylee Graham
• Patricia Lynn Graham, M.S. SLP

• Hospitalist Physician in Edmond, OK
• Providers in Edmond, OK by specialty
• Hospitalist Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; 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.