ROY N GRANTHAM MD NPI 1568457265

NPI Information

  • NPI: 1568457265
  • Provider Name: ROY N GRANTHAM, MD
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4221 S WESTERN AVE
    2010
    OKLAHOMA CITY, OK
    ZIP 73109
  • Phone: (405) 231-0540

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NPI Details

Roy N Grantham, MD is a vascular surgery surgery in Oklahoma City, OK. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Roy N Grantham, MD NPI is 1568457265. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4221 S WESTERN AVE
2010
OKLAHOMA CITY, OK
ZIP 73109-447
Phone: (405) 231-0540
Fax: (405) 644-5309

The NPI 1568457265 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 9/19/2005 and was last updated on 12/4/2014.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0129XSurgeryVascular Surgery16465OKLAHOMAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1060052653OTHERRAILROAD MEDICARE
2125309100OTHEROKLAHOMADOL
3100122170AMEDICAIDOKLAHOMA
45765290OTHEROKLAHOMAAETNA
5365531YSGZMEDICARE PINOKLAHOMA
6E15964MEDICARE 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: 11/21/2025

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