John K Griswell, M.D.

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

F3481 Issued in TX

Practice address

11801 S. Freeway
Fort Worth, TX 76134

Phone

(817) 790-7780

NPI assigned

Apr 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277078400000",
    "number": "1902861610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32",
            "city": "KEENE",
            "state": "TX",
            "postal_code": "760590032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11801 S. FREEWAY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76134",
            "telephone_number": "817-790-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISWELL",
        "first_name": "JOHN",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2010-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "TX",
            "license": "F3481",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "F3481",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127507503",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Parker Eli5 Grisham, M.S., SLP INTERN
• Shandy Grisham, RN, FNP
• Carla Grissett
• Danieta Kay Grissman, PTA
• David B Grissom, MD
• Rhonda Leighann Grmela, MS, CCC-SLP
• Savannah Marie Groesbeeck-Sena
• Michelle Groff
• Robert Christopher Groff, LPC
• Hope Gromatzky-Peck

• Emergency Medical Services (Emergency Medicine) Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.