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MS. MYRA CRANSHAW GRISSOM MD NPI 1134206147


NPI Information

NPI: 1134206147
Provider Name: MS. MYRA CRANSHAW GRISSOM, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
2817 12TH ST NE
WASHINGTON, DC
ZIP 20017
Phone: (202) 526-1030
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MS. Myra Cranshaw Grissom, MD is a pediatrics in Washington, DC. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. MS. Myra Cranshaw Grissom, MD NPI is 1134206147. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2817 12TH ST NE
WASHINGTON, DC
ZIP 20017
Phone: (202) 526-1030
Fax: (202) 526-0230

The enumeration date for this NPI number is 11/1/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsD0051418MARYLANDNo
2208000000XPediatricsMD21669DISTRICT OF COLUMBIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1491180MEDICARE ID-TYPE UNSPECIFIED
2H55813MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.