MRS. EMILY ANNE GRIMM (NPI# 1144242413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144242413 |
| Entity Type | Individual |
| Full Name | MRS. EMILY ANNE GRIMM |
| Credential | PA- C |
| Practice Address |
2055 E South Blvd Ste 603 Montgomery AL 36116-2014 |
| Mailing Address |
301 Brown Springs Rd Montgomery AL 36117-7005 |
| Practice Telephone | 3347478800 |
| Practice Fax Number | 3347478810 |
| Mailing Telephone | 3342734159 |
| Mailing Fax Number | 3342734556 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2018-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA.706 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | MEDICARE | 102I975474 | 01 |
| AL | 207629 | 05 | |
| OK | 200067000A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043631955 | Emily Grimm | Physical Therapist | 426 W Surf St Apt 612, Chicago, IL 60657-6135 | 2013-12-18 |
| 1013397702 | Emily Marie Grimm | Nurse Practitioner | 1744 Payne Ave, Cleveland, OH 44114-2910 | 2015-06-08 |
| Street Address |
2055 E SOUTH BLVD STE 603 |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36116-2014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457330813 | John M Mckinney Jr. | Surgery | 2055 E South Blvd Ste 603, Montgomery, AL 36116-2014 | 2006-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275153892 | Sayyeda Ann Uz Zahra | Student in an Organized Health Care Education/Training Program | 2055 East South Blvd. Suite 202, Uab Montgomery, Montgomery, AL 36116 | 2020-04-23 |
| 1861958241 | Tameka Lene' Myles | Nurse Practitioner | 2905 East South Boulevard, Montgomery, AL 36116 | 2019-02-11 |
| 1750869814 | Nina Yvette Massey | Family Medicine | Baptist South Uab Multi Specialty Clinic, 2119 E. South Blvd, Montgomery, AL 36116 | 2018-08-01 |
| 1336635697 | Briana Lynn Adair | Speech-Language Pathologist | 2185 Normandie Rd., Montgomery, AL 36116 | 2018-07-10 |
| 1790201770 | Rinka Ravi Pahwani | Student in an Organized Health Care Education/Training Program | 4371 Narrow Lane Road, Suite 100, Montgomery, AL 36116 | 2017-08-21 |
| 1982052015 | Kevin J Jones | Pharmacist | 4385 Narrow Lane Rd, Montgomery, AL 36116 | 2016-05-31 |
| 1891153284 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 8035 Vaughn Road, Montgomery, AL 36116 | 2016-02-01 |
| 1871917583 | E Dental | Dentist | 6956 Vaughn Rd, Montgomery, AL 36116 | 2014-02-17 |
| 1033545199 | Jennings Professional Services LLC | Home Health | 2921 Martin Lane, Montgomery, AL 36116 | 2013-09-20 |
| 1750721973 | Joseph Alan Taylor | Counselor | 8104 Seaton Place, Montgomery, AL 36116 | 2013-07-02 |
| Find all providers in zip 36116 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639518418 | Aaron Mcneil | Physician Assistant | 326 Bishop Trl, Montgomery, AL 36105-3546 | 2013-06-14 |
| 1114211281 | Lindsey Erin Gollner | Physician Assistant | 15320 Highway 105 Ste 120, Montgomery, TX 77356-2602 | 2011-06-06 |
| 1871744771 | Arthur Elsmore Forbes | Physician Assistant | 2549 Bell Rd, Montgomery, AL 36117-4369 | 2008-10-09 |
| 1154580926 | Laura H Thompson | Physician Assistant | 2055 E South Blvd Ste 505, Montgomery, AL 36116-2004 | 2008-06-05 |
| 1811196207 | Keith Edward Williamson | Physician Assistant | 19788 Highway 105 W Apt 627, Montgomery, TX 77356-3115 | 2007-07-16 |
| 1255393120 | Matthew Daniel Daggett | Physician Assistant | 300 S.twining St., Bldg 760, Montgomery, AL 36112 | 2006-04-05 |
| 1790779569 | Ronald John Savoy | Physician Assistant | 300 S Twining St, 42nd Mdg, Attn:credentials, Montgomery, AL 36112 | 2005-09-07 |
| 1891108502 | Katie Carpenter | Physician Assistant | 401 6th Ave, Montgomery, WV 25136-2116 | 2014-06-10 |
| 1447507736 | Linda Dawn White | Physician Assistant | 401 6th Ave, Montgomery, WV 25136-2116 | 2012-08-06 |
| 1316273147 | Carol Stapper Gietl | Physician Assistant | 215 Perry Hill Rd, Montgomery, AL 36109-3725 | 2009-10-29 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36116 |
Please comment or provide details below to improve the information on MRS. EMILY ANNE GRIMM.
| 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.