DAVID B GRIMM (NPI# 1003906421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003906421 |
| Entity Type | Individual |
| Full Name | DAVID B GRIMM |
| Credential | CRNA |
| Practice Address |
500 Burlington Rd Jackson OH 45640-9360 |
| Practice Telephone | 8554465937 |
| Practice Fax Number | 7403958519 |
| Mailing Telephone | 8554465937 |
| Mailing Fax Number | 7403958519 |
| Enumeration Date | 2006-10-14 |
| Last Update Date | 2020-06-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | COA.01721-NA | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 42699 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0752074 | 05 | |
| WV | 0065977000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891991451 | David C Grimm | Dentist | 17719 Virginia Ave, Hagerstown, MD 21740-7085 | 2007-06-21 |
| 1043644214 | David M Grimm | Counselor | 3801 N 88th St, Milwaukee, WI 53222-2706 | 2013-08-23 |
| 1699908855 | David Keith Grimm | Nurse Practitioner | 3950 S Country Club Rd, Suite 130, Tucson, AZ 85714-2099 | 2009-09-03 |
| 1942424247 | David Edward Grimm | Dentist | 132 Holiday Ct, Suite 202, Annapolis, MD 21401-7005 | 2007-04-11 |
| 1538101407 | David Charles Grimm | Orthopaedic Surgery | 229 Parrish St, Suite 100, Canandaigua, NY 14424-1791 | 2006-06-12 |
| 1609849405 | David Y Grimm | Marriage & Family Therapist | 1555 Howell Branch Rd, Suite B-4, Winter Park, FL 32789-1109 | 2006-02-10 |
| Street Address |
500 BURLINGTON RD |
| City | JACKSON |
| State | OH |
| Zip Code | 45640-9360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780678060 | Keith A Mckinniss | Pharmacist | 500 Burlington Rd, Jackson, OH 45640-9360 | 2005-09-01 |
| 1720618192 | Nicole Maxey | Behavioral Analyst | 500 Burlington Rd, Jackson, OH 45640-9360 | 2020-01-24 |
| 1154968006 | Jordan Jayjohn | Behavioral Analyst | 500 Burlington Rd, Jackson, OH 45640-9360 | 2019-12-10 |
| 1669019501 | Lorie Lynn Siders | Dietitian, Registered | 500 Burlington Rd, Jackson, OH 45640-9360 | 2019-12-10 |
| 1477105674 | Hannah Rose Bachtel | Nurse Practitioner | 500 Burlington Rd, Jackson, OH 45640-9360 | 2019-07-09 |
| 1871062893 | Melissa Davis | Licensed Practical Nurse | 500 Burlington Rd, Jackson, OH 45640-9360 | 2018-11-20 |
| 1972092633 | Jamie Beth Boster | Speech-Language Pathologist | 500 Burlington Rd, Jackson, OH 45640-9360 | 2018-05-08 |
| 1982193066 | Bethany Christine Sayre-penix | Occupational Therapist | 500 Burlington Rd, Jackson, OH 45640-9360 | 2018-05-04 |
| 1821517574 | Krystal Marie Thayer | Physician Assistant | 500 Burlington Rd, Jackson, OH 45640-9360 | 2017-09-13 |
| 1326490087 | Seth Forgey | Nurse Practitioner | 500 Burlington Rd, Jackson, OH 45640-9360 | 2016-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131047 | Karen Angela Hill | Homemaker | 399 Florence Ave., Jackson, OH 45640 | 2020-10-14 |
| 1639609183 | Katherine Elizabeth Kazee | Pharmacist | 530 E Main St., Jackson, OH 45640 | 2017-06-18 |
| 1477080703 | Mary Jane Adams | Registered Nurse | 10 Lady Avenue, Jackson, OH 45640 | 2017-05-17 |
| 1669721833 | David L Weaver | Counselor | 731 E. Main Street, Suite 16, Jackson, OH 45640 | 2012-09-04 |
| 1710297387 | Cheryl Renee Mccarty | Physical Therapy Assistant | 269 E South Street, Jackson, OH 45640 | 2010-10-18 |
| 1619203536 | Connie Rae Klein-ferguson | Registered Nurse | 388 Webb Pierce Road, Jackson, OH 45640 | 2009-10-28 |
| 1114194347 | Community Action Committee of Pike County | Clinic/Center | 14590 St Rt 93, Family Health Center Jackson, Jackson, OH 45640 | 2008-05-16 |
| 1548489149 | Synergy Dialysis Associates, LLC | Clinic/Center | 500 Mccarty Ln, Jackson, OH 45640 | 2007-04-24 |
| 1770629487 | Lance Family Medicine | Family Medicine | 212 Pearl Street Suite E, Jackson, OH 45640 | 2007-01-29 |
| 1023176104 | Amber Nichole Pratt | Speech-Language Pathologist | 822 Sellars Dr, Jackson, OH 45640 | 2006-12-04 |
| Find all providers in zip 45640 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
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|---|---|---|---|---|
| 1295232304 | Trumania Inc | Nurse Anesthetist, Certified Registered | 223 Clinton Rd Ste 204, Jackson, CA 95642-2680 | 2018-04-06 |
| 1902287501 | Timothy Parrish | Nurse Anesthetist, Certified Registered | 27 Red Deer Cv, Jackson, TN 38305-6485 | 2015-06-09 |
| 1821345398 | Denicia Maria Rankin | Nurse Anesthetist, Certified Registered | 88 Boyd Dr, Jackson, TN 38305-2152 | 2012-08-14 |
| 1437425717 | Sheela Federici | Nurse Anesthetist, Certified Registered | 545 Rutledge St, Jackson, MI 49203-1113 | 2012-03-30 |
| 1164611240 | Yvette George | Nurse Anesthetist, Certified Registered | 105 F Stonebrook Pl, Jackson, TN 38305 | 2007-10-15 |
| 1194843110 | Patricia Lynn Koprivica | Nurse Anesthetist, Certified Registered | 5919 Amber, Jackson, MI 49201-8389 | 2007-03-27 |
| 1215055454 | Eunai Danek | Nurse Anesthetist, Certified Registered | 2571 Cascade Creek Dr, Jackson, MI 49203-3771 | 2007-03-26 |
| 1508950064 | Mark Combs | Nurse Anesthetist, Certified Registered | 205 North East Ave, Anesthesia Department, Jackson, MI 49201 | 2006-10-02 |
| 1972696516 | Lisa Thompson Jackson | Nurse Anesthetist, Certified Registered | 1500 E. Woodrow Wilson, Jackson, MS 39216 | 2006-10-02 |
| 1932292596 | James Gerard Brown | Nurse Anesthetist, Certified Registered | Foote Hosp., 205 North East Avenue, Jackson, MI 49201-1753 | 2006-10-02 |
| Find all providers in JACKSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.