My Doctor

LBN: Scott Grigory, Md, Pc
My Doctor is an health care organization with primary practice located at 1 W Main St Suite 100, Idabel OK 74745-4654. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Urgent Care. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Scott Grigory, Md, Pc can be contacted via phone (580) 579-3385, or through Grigory, Scott Martin via phone (580) 579-3385.

Contact Information

Primary practice address
1 W Main St Suite 100 Idabel OK 74745-4654
Phone: (580) 579-3385
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Grigory, Scott Martin Doctor of Medicine (MD)
Phone: (580) 579-3385

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25241 Oklahoma
Allopathic & Osteopathic Physicians / General Practice 208D00000X 25241 Oklahoma
Ambulatory Health Care Facilities / Urgent Care 261QU0200X 25241 Oklahoma

Profile Details

NPI number 1790174993
LBN Legal business name Scott Grigory, Md, Pc
DBA Doing business as My Doctor
Authorized official Grigory, Scott Martin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2015
Last updated Oct 3rd, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790174993 NPPES
Oklahoma MEDICAID 200097850A

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