Johnny Ray Griggs, MD

Primary specialty

Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X

License

17823 Issued in OK

Practice address

3300 NW Expressway St
100 3135
Oklahoma City, OK 73112-4418

Phone

(405) 947-4001

Fax

(405) 948-6507

NPI assigned

Jun 19, 2006

Last updated

Oct 19, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Pediatric Intensive Care Services Inc

  • Pediatric Critical Care Medicine Physician
  • Oklahoma City, OK
  • NPI 1205864253
  NPD (past) Authorized official
• Integris Baptist Associates

  • Cardiovascular Disease Physician
  • Oklahoma City, OK
  • NPI 1205969458
  NPD (past)

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192752000000",
    "number": "1629013883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 963135",
            "city": "OKC",
            "state": "OK",
            "postal_code": "73196",
            "telephone_number": "405-947-8586",
            "fax_number": "405-948-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 NW EXPRESSWAY ST",
            "address_2": "100 3135",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124418",
            "telephone_number": "405-947-4001",
            "fax_number": "405-948-6507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGGS",
        "first_name": "JOHNNY",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2007-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "OK",
            "license": "17823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5039058",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jayeisha Renae Griffith
• Kyle Griffith, D.C.
• Robert Jon Griffith, D.C.
• Thomas Griffith, BA
• Harley Griggs, SLPA
• Sahayla Griggs
• Sheena Griggs
• Thomas Sigurd Griggs, MD
• Laneshia Grigsby
• Randall O Grill, DDS

• Pediatric Critical Care Medicine Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Pediatric Critical Care Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.