1. Home
  2. Directory
  3. Oklahoma
  4. Idabel
  5. Pediatrics
  6. NPI Profile

MY DOCTOR
NPI 1790174993
Pediatrics in Idabel, OK

Active since January 12, 2015CLIA 37D2090233 · Waiver
1 W MAIN ST, SUITE 100, IDABEL, OK 74745(580) 579-3385 Get Directions Write a Review

NPPES record last updated: October 3, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About My Doctor NPPES

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

MY DOCTOR (NPI 1790174993) is a healthcare organization registered as a pediatrics in Idabel, Oklahoma and active in the NPI registry since January 2015. The organization holds a CLIA Waiver certificate valid through January 15, 2027 and lists Scott Martin Grigory, Owner, as its authorized official.

NPPES Registry Identity

NPI1790174993
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSCOTT GRIGORY, MD, PC
Location Address1 W MAIN ST, SUITE 100Idabel, OK 74745-4654
Mailing Address1 W Main St, Suite 100Idabel, OK 74745-4654 · (580) 579-3385
Phone(580) 579-3385
Organization SubpartNo
Authorized OfficialScott Martin GrigoryOwner · (580) 579-3385
Enumeration DateJanuary 12, 2015
Last NPPES UpdateOctober 3, 2017
✔ NPI 1790174993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OK · 25241
Definition
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.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 25241 (OK)
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X · License 25241 (OK)
1 W MAIN ST, Idabel, OK 74745
Open in Google Maps ↗

Other Names 1

Doing Business AsMy Doctor

Other Identifiers 1

Medicaid200097850AOK

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2090233

My Doctor · Idabel, OK
Active · expires Jan 15, 2027
CLIA Number37D2090233
Laboratory TypeRural Health Clinic
Certificate Effective DateJanuary 16, 2025
Certificate Expiration DateJanuary 15, 2027
Laboratory DirectorScott M. Grigory
Laboratory Phone(000) 580-2861
Laboratory LocationMy Doctor1 West Main St Suite 100, Idabel, OK 74745
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. SCOTT MARTIN GRIGORY M.D.
Pediatrics
1 W MAIN ST, SUITE 100
IDABEL, OK 74745
McCurtain County (580) 579-3385

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Scott Grigory, MD, PC's NPI number?

The NPI number for Scott Grigory, MD, PC is 1790174993. It was assigned to this organization in the NPPES registry on January 12, 2015. The provider is doing business as My Doctor.

Where is Scott Grigory, MD, PC located?

Scott Grigory, MD, PC is located at 1 W Main St Suite 100, Idabel, OK 74745. The listed phone number is (580) 579-3385.

What is Scott Grigory, MD, PC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Scott Grigory, MD, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2090233) is associated with this NPI, valid through January 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Scott Grigory, MD, PC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Scott Grigory, MD, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Scott Grigory, MD, PC was last updated on October 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.