Michael Edward Grady, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD13436 Issued in OR

Practice address

442 McClaine St
Silverton, OR 97381-1921

Phone

(503) 873-1764

NPI assigned

Aug 1, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Silverton Hospital

  • Primary Care Clinic/Center
  • Silverton, OR
  • NPI 1578660031
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922014463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 MCCLAINE ST",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973811921",
            "telephone_number": "503-873-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "442 MCCLAINE ST",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973811921",
            "telephone_number": "503-873-1764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRADY",
        "first_name": "MICHAEL",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD13436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "282111",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Corey Geffken, LMT
• Melissa Gengler
• John Anderson Gilliam II, MD
• Rebecca Gilliam
• Glenn T. Brasington, PH.D., Inc.
• Donald R Graham, M.D.
• Kate Graham, L.M.T.
• Amber Renee Grant, RPH
• Teryl Graybeal, RN, IBCLC
• James Charles Greer, RNFA

• Family Medicine Physician in Silverton, OR
• Providers in Silverton, OR by specialty
• Family Medicine Physician in Oregon

• 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.

Verify at the official NPI Registry.