NATALIE BANKS GRISHAM MD
NPI 1134567548
Surgery - Trauma Surgery in Lawton, OK

Q: What is Natalie Grisham's NPI number?

The NPI number for Natalie Grisham is 1134567548. It was assigned to this individual provider in the NPPES registry on June 7, 2013.

Q: What is Natalie Grisham's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Trauma Surgery, with taxonomy code 2086S0127X.

Q: When was this NPI record last updated?

The NPPES record for Natalie Grisham was last updated on October 26, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 07, 2013PECOS Enrolled

1515 NE LAWRIE TATUM RD, LAWTON, OK 73507(580) 354-5000 Get Directions Write a Review

NPPES record last updated: October 26, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 26, 2020, Sep 24, 2020, Apr 9, 2019 (3 updates tracked since 2019).

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About Natalie Banks Grisham Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATALIE BANKS GRISHAM MD (NPI 1134567548) is an individual trauma surgery provider in Lawton, Oklahoma, licensed in Arkansas (T2020-507) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Falls Church.

NPPES Registry Identity

NPI1134567548

Entity TypeIndividualFemale

Primary Taxonomy2086S0127X

Provider Legal NameNATALIE BANKS GRISHAMCredential: MD

Location Address1515 NE LAWRIE TATUM RDLawton, OK 73507-3002

Mailing Address5 Saint Vincent Cir, Ste 210Little Rock, AR 72205-5416

Phone(580) 354-5000

Sole ProprietorNo

Enumeration DateJune 7, 2013

Last NPPES UpdateOctober 26, 20203 updates tracked since enumeration

NPPES CertifiedOctober 26, 2020

✔ NPI 1134567548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Trauma SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0127X

License✔ Licensed in AR · T2020-507

Definition

Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.

Also ListedSurgeryTaxonomy 208600000X · License 33688 (OK), 0116025854 (VA)

1515 NE LAWRIE TATUM RD, Lawton, OK 73507

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Other Names 1

Former Name (1)Natalie Banks Md

Secondary Practice Location 1

Location 13300 Gallows RdFalls Church, VA 22042-3307 · Phone (703) 776-4001

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Natalie Banks Grisham Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAIME BUENAVENTURA PILAR M.D.

Surgery