MR. RICKY D GRISSON II (NPI# 1093910606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093910606 |
| Entity Type | Individual |
| Full Name | MR. RICKY D GRISSON II |
| Credential | M.D. |
| Practice Address |
117 Ellenfield St Ste 101 Providence RI 02905-4541 |
| Mailing Address |
Massachusetts General Hospital 55 Fruit Street Boston MA 02114 |
| Practice Telephone | 4014446779 |
| Mailing Telephone | 6177262967 |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2020-10-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
L-232504 | MA | Allopathic & Osteopathic Physicians |
| Y | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
MD15414 | RI | Allopathic & Osteopathic Physicians |
| N | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
A121170 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
117 ELLENFIELD ST STE 101 |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02905-4541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477100808 | Raisa Emilia Garcia-diaz | Counselor | 66 Pavilion Avenue, Providence, RI 02905 | 2019-08-21 |
| 1962976571 | Nike A. Kendall | Social Worker | Program In Women's Oncology, 101 Dudley Street, Providence, RI 02905 | 2019-01-16 |
| 1891265443 | Carolyn Te Young | Pathology | 1320 Narragansett Blvd, Cranston, RI 02905 | 2018-11-27 |
| 1417427071 | Julianne Elizabeth Houtchens | Dietitian, Registered | Adult Primary Care 245 Chapman Street, Providence, RI 02905 | 2018-11-27 |
| 1922577394 | Dilenia C Cruz | Health Educator | 335r Prairie Ave., Suite 2b, Providence, RI 02905 | 2018-11-15 |
| 1639653116 | Varina S. Gunn | Health Educator | 335r Prarie Ave., Suite 2b, Providence, RI 02905 | 2018-09-20 |
| 1427590421 | Cardea Healthcare LLC | In Home Supportive Care | 100 Pavilion Avenue, Suite 101, Providence, RI 02905 | 2016-11-08 |
| 1265884597 | Maxwell King | Physical Therapy Assistant | 48 Moorland Avenue, Cranston, RI 02905 | 2016-07-11 |
| 1346698024 | Samantha Lea Colli | Physician Assistant | 100 Dudley St Fl 3, Providence, RI 02905 | 2016-06-02 |
| 1346697448 | Amy Jean Simpson | Marriage & Family Therapist | 1981 Broad Street, Cranston, RI 02905 | 2016-05-18 |
| Find all providers in zip 02905 | ||||
| Taxonomy Code | 207ZP0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Clinical Pathology/Laboratory Medicine |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275733511 | James M Barbeau | Pathology | 593 Eddy St, Apc 12, Providence, RI 02903-4923 | 2007-07-24 |
| 1871799676 | Jeffrey A Bailey | Pathology | 593 Eddy St, Providence, RI 02903 | 2007-06-27 |
| 1487771861 | Women & Infants Hospital of Ri | Pathology | 101 Dudley St, Providence, RI 02905-2401 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194945980 | Memorial Hospital | Pathology | 111 Brewster St, Pawtucket, RI 02860-4400 | 2007-04-26 |
| 1114060670 | John Dominic Romo | Pathology | 525 Broad St, Cumberland, RI 02864-6919 | 2007-02-15 |
| 1285611285 | Northern Ri Rehab Management Associates Lp | Pathology | 116 Eddie Dowling Hwy, North Smithfield, RI 02896-7327 | 2005-12-30 |
| 1629055751 | Landmark Medical Center | Pathology | 115 Cass Ave, Woonsocket, RI 02895-4705 | 2005-12-29 |
| City | PROVIDENCE |
| Zip Code | 02905 |
Please comment or provide details below to improve the information on MR. RICKY D GRISSON II.
| 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.