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Deactivated NPI 1083090138 Deactivated / Inactive NPI Male Practitioner

Dr. John Hooper Griscom , MD

Internal Medicine • Boca Raton, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Griscom has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 30, 2015
NPI Deactivation Date March 16, 2020
Total Practice Duration ~5 Years of Practice (2015 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. John Griscom, MD was a registered Internal Medicine practicing in Boca Raton, FL. Throughout an active medical career spanning 5 years, Dr. Griscom provided care at the practice location at 3752 MYKONOS COURT until profile deactivation on 2020-03-16.

Practice Location & Contact Primary Location

Practice Address

3752 Mykonos Court

Boca Raton, FL 33487

Telephone 5619129467
Fax 5618930431

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Boca Raton, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.3 Yrs
State Avg: 26.5 Yrs
Regional Practice Density
217 Specialists

Practicing in Boca Raton, FL (10650 Statewide)

Telehealth Adoption Rate
26.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TN 2109

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 16, 2020

Record deactivated on March 16, 2020

NPI Profile Active July 30, 2015

NPI status registered as active in NPPES database

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Updated Practice Location July 30, 2015

Registered at 3752 MYKONOS COURT, BOCA RATON, FL 33487 (Tel: 5619129467)

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Updated Business Mailing Address July 30, 2015

Registered at 3752 MYKONOS COURT, BOCA RATON, FL 33487 (Tel: 5619129467)

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Provider Name / Credentials Updated July 30, 2015

Recorded as JOHN GRISCOM, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2015

Internal Medicine (License #2109 in TN)

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Initial NPI Registration & Enumeration July 30, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083090138
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 30, 2015
Last Update: July 30, 2015
Deactivation Date: March 16, 2020

Mailing Address

3752 Mykonos Court

Boca Raton, FL 33487

Phone: 5619129467

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.