Scott Martin Grigory, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25241 Issued in OK

Practice address

1 W Main St
Suite 100
Idabel, OK 74745-4654

Phone

(580) 579-3385

NPI assigned

Nov 3, 2006

Last updated

Oct 13, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in OK

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 1

Specialty

Pediatric Medicine

Education

University of Minnesota Medical School, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10792/brand/1/csg/1/fhir/r4

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.

• Scott Grigory, MD, PC

  dba My Doctor

  • Pediatrics Physician
  • Idabel, OK
  • NPI 1790174993
  Medicare reassignment NPD Authorized official
• McCurtain Memorial Medical Management, Inc.

  dba McCurtain Memorial Hospital

  • Rural Acute Care Hospital
  • Idabel, OK
  • NPI 1629020177
  Medicare reassignment NPD
• McCurtain Memorial Medical Management, Inc.

  dba McCurtain Memorial Surgical Clinic

  • Surgery Physician
  • Idabel, OK
  • NPI 1356506109
  NPD
• McCurtain Memorial Medical Management, Inc.

  dba McCurtain Memorial Hospital

  • Critical Access Hospital
  • Idabel, OK
  • NPI 1063900975
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444694400000",
    "number": "1740369636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE WEST MAIN",
            "address_2": "SUITE 100",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747454655",
            "telephone_number": "580-286-1101",
            "fax_number": "580-286-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W MAIN ST",
            "address_2": "SUITE 100",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747454654",
            "telephone_number": "580-579-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGORY",
        "first_name": "SCOTT",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2015-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "25241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200097850A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Burtchal Griffin, M.S.
• Charlain D Griffin
• Corey Griffin, M.S.
• Glenda Griffin, M.S.
• Tristan Griffin, M.E.D
• Monty J Grugan, DO
• Jordyn L Guest, CCC-SLP
• Cheryl Hall
• Harborbend Counseling
• Latoria Hardage

• Pediatrics Physician in Idabel, OK
• Providers in Idabel, OK by specialty
• Pediatrics Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; 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.