Natalie Banks Grisham, MD | |
1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3002 | |
(580) 354-5000 | |
Not Available |
Full Name | Natalie Banks Grisham |
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Gender | Female |
Speciality | Surgery - Trauma Surgery |
Location | 1515 Ne Lawrie Tatum Rd, Lawton, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134567548 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 0116025854 (Virginia) | Secondary |
2086S0127X | Surgery - Trauma Surgery | T2020-507 (Arkansas) | Primary |
208600000X | Surgery | 33688 (Oklahoma) | Secondary |
Entity Name | Okc Surgicalists Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639642655 PECOS PAC ID: 5092058156 Enrollment ID: O20190514001007 |
Mailing Address | Practice Location Address |
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Natalie Banks Grisham, MD 5 Saint Vincent Cir, Ste 210, Little Rock, AR 72205-5416 Ph: () - | Natalie Banks Grisham, MD 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3002 Ph: (580) 354-5000 |
Daniel Max Goates, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 110 Nw 31st St, Lawton, OK 73505 Phone: 508-510-7042 | |
Dr. Jaime Buenaventura Pilar, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507 Phone: 580-353-0350 | |
Dr. John Nereus Carter, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 110 Nw 31st St, 3rd Floor, Lawton, OK 73505 Phone: 580-510-7042 Fax: 580-510-7044 | |
Elissa J Hunter, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 110 Nw 31st St, 3rd Floor, Lawton, OK 73505 Phone: 580-510-7042 Fax: 580-510-7044 | |
Daniel L Morgan, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 110 Nw 31st, 3rd Floor, Lawton, OK 73505 Phone: 580-510-7042 Fax: 580-510-7044 | |
Andrew Stevens, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5602 Sw Lee Blvd, Lawton, OK 73505 Phone: 580-531-4700 |