Gloria Ann Grim, M.D.
Individual provider Active NPI Family Medicine Physician · Salina, OK
NPI 1942299276 · NPPES record last updated Sep 22, 2011
Key facts
- NPI
- 1942299276
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 18956 (OK)
- Practice address
- 900 N Owen Walters Blvd
Salina, OK 74365-5003 - Phone
- (918) 434-8500
- Fax
- (918) 458-6174
- NPI assigned
- Oct 19, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 12
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Oklahoma College of Medicine, 1993
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Choctaw Nation of Oklahoma
Micmac Health Department
Practice addresses (Care Compare)
1 Choctaw Way
Talihina, OK 74571-2022
Phone (539) 316-6391
109 Kerr Blvd
Poteau, OK 74953-5231
Phone (539) 316-6391
8 Northern Rd
Presque Isle, ME 04769-2040
Phone 2077641972333
One Choctaw Way
Talihina, OK 74571-2022
Hospital & facility affiliations
- Choctaw Nation Health Services Authority
- Northern Light a R Gould Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.07 of 100
- Quality
- 73.06
- Improvement activities
- 40
- Cost
- 69.92
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.12 of 100
- Quality
- 83.76
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 56.64
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in TX, ME, OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040421001863 | TX | Practitioner - Family Practice | 7911993340 | Reassigns benefits to 2 organizations |
| I20200513000929 | ME | Practitioner - Family Practice | 7911993340 | |
| I20230215001372 | OK | Practitioner - Family Practice | 7911993340 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creek Nation Hospital & Clinics | Current |
Accepting new patients | |
| Creek Nation Hospital & Clinics | Family Medicine | Current |
Accepting new patients |
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| Choctaw Nation of Oklahoma | Current |
Accepting new patients | |
| Creek Nation Hospital & Clinics | Family Medicine | Current | Accepting new patients |
| Creek Nation Hospital & Clinics | Current |
Accepting new patients | |
| Choctaw Nation of Oklahoma | Current |
Accepting new patients | |
| Cherokee Nation | Past |
Accepting new patients | |
| Choctaw Nation of Oklahoma | Past | Accepting new patients | |
| Micmac Health Department | Past |
Accepting new patients |
Locations
1585 W Liberty Rd
Atoka, OK 74525
Phone (580) 889-1981
1300 E Martin Luther King Dr
Broken Bow, OK 74728
Phone (580) 208-2204
410 N M St
Hugo, OK 74743
Phone (580) 326-7561
902 E Lincoln Rd
Idabel, OK 74745
Phone (580) 286-2600
1127 S George Nigh Expy
McAlester, OK 74501
Phone (800) 349-7026
900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448
1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641
109 Kerr Blvd
Poteau, OK 74953
Phone (918) 649-1100
2204 E Main St
Stigler, OK 74462
Phone (918) 967-9200
1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440
Dept 1467
Tulsa, OK 74182
Dept 1038
Tulsa, OK 74182
10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/2d405cde-1d8b-4a50-adff-ca7776cd856e/
- ggrim20260@choctawnation.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 18956 | OK | Yes |
Addresses
Primary practice location
900 N Owen Walters Blvd
Salina, OK 74365-5003
Mailing address
16869 N Winslow Dr
Hulbert, OK 74441-2298
Phone (918) 456-0671
Other providers in Salina, OK
- Terrie Lynn Edwards
- Robyn Ellis
- Roberto Encinas Jr.
- Julie Michelle Gaskins
- Brett McNeil Gray
- Angela Kay Grissom
- Elisabeth Guzman
- Chaney Lynn Hair
- Janet L Hall
- Jake Havellana
All providers in Salina, OK · Family Medicine Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.