Debra a. Grayson, D.O., Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34-004095-G Issued in OH

Legal business name

DEBRA A. GRAYSON, D.O., INC.

Practice address

4677 E Main St
Columbus, OH 43213-3160

Phone

(614) 575-6270

Fax

(614) 575-6282

NPI assigned

Dec 4, 2007

Last updated

Feb 13, 2008By 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

Tricia L Smith

Title

Office Manager

Phone

(614) 575-6270

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

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.

• Debra Ann Grayson, D.O.

  • Family Medicine Physician
  • Columbus, OH
  • NPI 1356333785
  Medicare reassignment NPD

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1932381753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4677 E. MAIN STREET",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432133160",
            "telephone_number": "614-575-6270",
            "fax_number": "614-575-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4677 E MAIN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432133160",
            "telephone_number": "614-575-6270",
            "fax_number": "614-575-6282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBRA A. GRAYSON, D.O., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "614-575-6270"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-004095-G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0716354",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Gauch Deleon Counseling, LLC
• Deborah Pounds (Arizona Counseling & Consultation Services, LLC)
• Julie Debord, LISW
• Zachary Charles Debord, PHARMD
• Sean David Deboyace, MD
• Henrietta Debrah
• Bryttani Debro, MPA,MSW,LSW
• Michelle Debrosse
• G. Jerome Decarlo II
• Andrea L Decenzo

• Family Medicine Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.