Provider Type Icon

DR. JOHN ANTHONY GRISWOLD M.D. NPI 1720062789


NPI Information

NPI: 1720062789
Provider Name: DR. JOHN ANTHONY GRISWOLD, M.D.
Classification: Surgery - 2086S0102X
Entity Type: Individual

Specialization: Surgical Critical Care

Organization: TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK

PECOS Registration: Yes

Address:
3601 4TH ST
LUBBOCK, TX
ZIP 79430
Phone: (806) 743-2373
Get Directions

DR. John Anthony Griswold, M.D. is a surgical critical care surgery in Lubbock, TX with 43 years of experience. The provider is a surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. DR. John Anthony Griswold, M.D. NPI is 1720062789. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1981

The provider's business location address is:

3601 4TH ST
LUBBOCK, TX
ZIP 79430-002
Phone: (806) 743-2373
Fax: (806) 743-4354

The NPI 1720062789 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/2/2005 and was last updated on 11/23/2021.


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
1208600000XSurgeryG1419TEXASNo
22086S0102XSurgerySurgical Critical CareG1419TEXASYes

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
1100204440AMEDICAIDOKLAHOMA
2125354402MEDICAIDTEXAS
3201015993MEDICAIDNEW MEXICO
483G204OTHERTEXASBC/BS
5Y0224MEDICAIDNEW MEXICO
6A039OTHERNEW MEXICOTRIWEST
7114085100OTHERTEXASFIRSTCARE COMMERCIAL
8125354403MEDICAIDTEXAS
9114085101MEDICAIDTEXAS
10201015993OTHERNEW MEXICOPRESBYTERIAN COMMERCIAL
1180840ZOTHERTEXASHMO BLUE

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: 11/14/2023

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.