KARLA LYN GRIMES (NPI# 1063827194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063827194 |
Entity Type | Individual |
Full Name | KARLA LYN GRIMES |
Credential | PA-C |
Practice Address |
4881 Cougar Trail Rd Dublin VA 24084-3918 |
Practice Telephone | 5407079451 |
Mailing Telephone | 5407079451 |
Enumeration Date | 2014-06-27 |
Last Update Date | 2020-04-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363A00000X | Physician Assistant | 0010-06421 | NC | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AM0700X |
Physician Assistant Specialization: Medical |
0010-06421 | NC | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0110004103 | VA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
4881 COUGAR TRAIL RD |
City | DUBLIN |
State | VA |
Zip Code | 24084-3918 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194236307 | Employees Pharmacy LLC | Pharmacy | 4881 Cougar Trail Rd, Dublin, VA 24084-3918 | 2017-10-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609356518 | Pain Management Centers of Southwest Virginia | Physical Medicine & Rehabilitation | 30-31 Town Center Drive, Dublin, VA 24084 | 2018-08-20 |
1063902633 | Family Preservation Services Inc | Community/Behavioral Health | 600 Dublap Road, Dublin, VA 24084 | 2018-05-18 |
1770719486 | Knotresha Floreth Stewart | Internal Medicine | 28 Town Center Drive, Dublin, VA 24084 | 2009-06-09 |
1124299110 | Harvey Dentistry Nrv, PC | Clinic/Center | 4664 Lee Hwy, Dublin, VA 24084 | 2008-03-18 |
1427244821 | W Matthew Skewes Md PC | Internal Medicine | 112 Broad St, Dublin, VA 24084 | 2007-09-19 |
1588863955 | Charles Eric Berry | Physical Therapy Assistant | 5286 Alexander Road, Heartland Rehabilitation Services of Virginia Inc, Dublin, VA 24084 | 2007-07-16 |
1326116120 | Dublin Pharmacy | Pharmacy | 703 Broad St., Dublin, VA 24084 | 2006-12-01 |
1851498398 | Childrens Choice, P.C. | Pediatrics | 5562 Cougar Trail Road, Dublin, VA 24084 | 2006-09-19 |
1811008485 | Laura Kay Miear | Occupational Therapist | 5286 Alexander Rd, Heartland Rehabilitation Services, Dublin, VA 24084 | 2006-08-31 |
1003920281 | Joseph Charles Holmes Jr. | Dentist | 254 W. Main St., Dublin, VA 24084 | 2006-08-18 |
Find all providers in zip 24084 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023497989 | Jeffrey William Blitz | Physician Assistant | 7698 Scioto Crossing Blvd, Dublin, OH 43016-7660 | 2015-05-26 |
1679654693 | Deborah Ware Fordham | Physician Assistant | 1826 Veterans Boulevard, Carl Vinson Va Medical Center, Dublin, GA 31021 | 2006-10-17 |
1629026117 | Lana K Lott | Physician Assistant | 102 Fairview Park Dr, Dublin, GA 31021-2500 | 2006-05-05 |
1588629802 | Patricia Kelly Bush | Physician Assistant | 6905 Hospital Dr Ste 130, Dublin, OH 43016-9600 | 2006-04-19 |
1023647450 | Amanda Mcguffin | Physician Assistant | 5945 Sawmill Rd, Dublin, OH 43017-1623 | 2020-04-07 |
1497188619 | Sharon D Tiernan-lang | Physician Assistant | 5701 8th St, Dublin, CA 94568-3305 | 2013-08-12 |
1760754683 | Kelly Johnson Bumgarner | Physician Assistant | 5720 Blazer Pkwy, Dublin, OH 43017-3566 | 2012-02-08 |
1821251034 | Dean Winslow Parsons | Physician Assistant | 6905 Hospital Dr Ste 130, Dublin, OH 43016-9600 | 2008-07-08 |
1568491215 | Julie M Molina | Physician Assistant | 6905 Hospital Dr, Suite 130, Dublin, OH 43016-9600 | 2006-07-02 |
1093742140 | Jeffrey Robert Fisher | Physician Assistant | 6905 Hospital Dr, Suite 130, Dublin, OH 43016-9600 | 2006-06-26 |
Find all providers in DUBLIN |
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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.