Active NPI
Henry T Grizzard, MD
- Ophthalmology Physician
- Germantown, TN
National Provider Identifier
1679632079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- TNMD4526
- Practice address
- 7205 Wolf River Blvd
Germantown, TN 38138 - Phone
- (901) 682-5687
- Fax
- (901) 522-6613
- NPI assigned
- Dec 8, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | TNMD4526 | TN | Primary |
Addresses
Primary practice location
7205 Wolf River Blvd
Germantown, TN 38138
Mailing address
PO Box 3812
Germantown, TN 38183
Phone (901) 682-5687
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TNMD4526 | TN | MD | Ophthalmology Physician |
| 4526 | TN | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679632079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3812",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "38183",
"telephone_number": "901-682-5687",
"fax_number": "910-522-6613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7205 WOLF RIVER BLVD",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "38138",
"telephone_number": "901-682-5687",
"fax_number": "901-522-6613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIZZARD",
"first_name": "HENRY",
"middle_name": "T",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TN",
"license": "TNMD4526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Germantown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.