| Rhonda Parker Grisham, CRNA | |
|
4737 S 209th West Ave, Sand Springs, OK 74063-4656 | |
| (918) 408-8151 | |
| (918) 745-9750 |
| Full Name | Rhonda Parker Grisham |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 4737 S 209th West Ave, Sand Springs, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952335473 | NPI | - | NPPES |
| 900522349 | Other | OK | MEDICARE GROUP PIN |
| 200091060A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R0084504 (Oklahoma) | Primary |
| Entity Name | Sooner Anesthesia Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720080401 PECOS PAC ID: 7416919899 Enrollment ID: O20041028000361 |
| Entity Name | Olympia Anesthesia Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205841186 PECOS PAC ID: 5395767602 Enrollment ID: O20051230000221 |
| Entity Name | St. John Anesthesia Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265446579 PECOS PAC ID: 4789607938 Enrollment ID: O20060113000295 |
| Entity Name | Resource Anesthesia, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033162045 PECOS PAC ID: 1254228141 Enrollment ID: O20080626000528 |
| Entity Name | Northstar Anesthesia Of Oklahoma, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043516628 PECOS PAC ID: 1254519275 Enrollment ID: O20110622000357 |
| Entity Name | Sage Anesthesia Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922624550 PECOS PAC ID: 1850718420 Enrollment ID: O20200827000971 |
| Mailing Address | Practice Location Address |
|---|---|
| Rhonda Parker Grisham, CRNA 4808 S 109th East Ave, Tulsa, OK 74146-5822 Ph: (918) 742-2502 | Rhonda Parker Grisham, CRNA 4737 S 209th West Ave, Sand Springs, OK 74063-4656 Ph: (918) 408-8151 |