Kathleen M Graytock, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

36002809G Issued in OH

Practice address

1660 NW Professional PLZ
Suite K
Columbus, OH 43220-3854

Phone

(614) 574-4774

Fax

(614) 457-4795

NPI assigned

May 21, 2006

Sex

Female

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Berry Leaf Foot & Ankle Center LTD

  • Podiatrist
  • Columbus, OH
  • NPI 1508811548
  Medicare reassignment NPD Authorized official
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1148169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289260800000",
    "number": "1952355034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 NW PROFESSIONAL PLZ",
            "address_2": "SUITE K",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432203854",
            "telephone_number": "614-574-4774",
            "fax_number": "614-457-4795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 NW PROFESSIONAL PLZ",
            "address_2": "SUITE K",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432203854",
            "telephone_number": "614-574-4774",
            "fax_number": "614-457-4795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAYTOCK",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-21",
        "last_updated": "2010-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36002809G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0932030",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander Grayson
• Debra Ann Grayson, D.O.
• Jasmine Diane Grayson, APRN-CNP
• Krysta Grayson
• Mitchell H Grayson, MD
• Megan Marie Graziano
• Dana Elizabeth Graziosi, CNP
• Michelle M Grcic, CNP
• Shannon Marie Greaker, APRN-CNP
• Great Grace Home Care and Behavioral Health, LLC

• Podiatrist in Columbus, OH
• Providers in Columbus, OH by specialty
• Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.