Scott Grigory, MD, PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25241 Issued in OK

Legal business name

SCOTT GRIGORY, MD, PC

Doing business as

My Doctor

Practice address

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

Phone

(580) 579-3385

NPI assigned

Jan 12, 2015

Last updated

Oct 3, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Scott Martin Grigory, M.D.NPI 1740369636

Title

Owner

Phone

(580) 579-3385

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• My Doctor Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott Martin Grigory, M.D.

  • Pediatrics Physician
  • Idabel, OK
  • NPI 1740369636
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506988800000",
    "number": "1790174993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "organization_name": "SCOTT GRIGORY, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-12",
        "last_updated": "2017-10-03",
        "status": "A",
        "authorized_official_last_name": "GRIGORY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-579-3385",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "25241",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "OK",
            "license": "25241",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "OK",
            "license": "25241",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200097850A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Doctor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Dawn Salinas
• Thomas W Salyer, D.O.
• Pamela Lynn Sander, REGISTERED NURSE
• John Phillip Stone Scoggin
• Kristen Scoggin, PHARMD
• Sequelcare of Oklahoma, LLC
• Sequelcare of Oklahoma, LLC
• Sequelcare of Oklahoma, LLC
• Sharrock Medical LLC
• Kelli Marie Shelton, R.D.

• 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 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.