DR. KEVIN DAVID GRAYSON M.D. NPI 1932128477

NPI Information

NPI: 1932128477
Provider Name: DR. KEVIN DAVID GRAYSON, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
612 SUNSET DR
LA GRANDE, OR
ZIP 97850
Phone: (541) 663-3150
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DR. Kevin David Grayson, M.D. is a pediatrics in La Grande, OR. 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. DR. Kevin David Grayson, M.D. NPI is 1932128477. 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:

612 SUNSET DR
LA GRANDE, OR
ZIP 97850-248
Phone: (541) 663-3150
Fax: (541) 975-5111

The enumeration date for this NPI number is 7/18/2006 and was last updated on 7/1/2010.

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
1	208000000X	Pediatrics		MD23354	OREGON	Yes

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
1	287182	MEDICAID	OREGON
2	I47450	MEDICARE UPIN	OREGON
3	133966	MEDICARE ID-TYPE UNSPECIFIED	OREGON	PIN-ZGBDR
4	H1258-02	OTHER	OREGON	OTHER
5	9305053253002	OTHER		EMPLOYER ID
6	133607	MEDICARE PIN	OREGON

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

NPI Synchronization or Removal

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