Raymond F. Grenfell, III., M.D., PLLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

21031 Issued in MS

Legal business name

RAYMOND F. GRENFELL, III., M.D., PLLC

Practice address

971 Lakeland Drive
Suite 450
Jackson, MS 39216

Phone

(601) 948-5158

Fax

(601) 949-6058

NPI assigned

May 11, 2010

Organization subpart

No

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

Authorized official

Name

Raymond F Grenfell III, M.D.

Title

Owner

Phone

(601) 948-5158

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273536000000",
    "number": "1780902155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "971 LAKELAND DR",
            "address_2": "SUITE 450",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164643",
            "telephone_number": "601-948-5158",
            "fax_number": "601-949-6058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 LAKELAND DRIVE",
            "address_2": "SUITE 450",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39216",
            "telephone_number": "601-948-5158",
            "fax_number": "601-949-6058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND F. GRENFELL, III., M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-11",
        "last_updated": "2010-05-11",
        "status": "A",
        "authorized_official_last_name": "GRENFELL",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-948-5158",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MS",
            "license": "21031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Palmer Ray, PHD, BCBA-D
• Linda Ilene Ray, M.D.
• Melinda S. Ray, M.D.
• William Franklin Rayburn, M.D.
• Lorneater Rayford
• Michael Raymond
• Hafiz Muhammad Ali Raza, MD
• RBB, LLC
• Dale G Read, M.D.
• Real Solutilons, LLC

• Endocrinology, Diabetes & Metabolism Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Endocrinology, Diabetes & Metabolism Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; 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.