RUBY ANN GRIMM (NPI# 1154312841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154312841 |
| Entity Type | Individual |
| Full Name | RUBY ANN GRIMM |
| Credential | M.D. |
| Practice Address |
738 Bryant St Statesville NC 28677-4189 |
| Practice Telephone | 7048732219 |
| Practice Fax Number | 7048731379 |
| Mailing Telephone | 7048732219 |
| Mailing Fax Number | 7048731379 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2010-11-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | 21472 | NC | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8937657 | 05 |
| Street Address |
738 BRYANT ST |
| City | STATESVILLE |
| State | NC |
| Zip Code | 28677-4189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477805166 | Iredell Physician Network, LLC | Internal Medicine | 738 Bryant St, Statesville, NC 28677-4189 | 2012-10-05 |
| 1114032398 | James Hedrick Bradford | Internal Medicine | 738 Bryant St, Suite A, Statesville, NC 28677-4189 | 2006-08-20 |
| 1932214137 | Naim Ezzat Bouhussein | Internal Medicine | 738 Bryant St, Suite A, Statesville, NC 28677-4189 | 2006-08-20 |
| 1558476606 | Statesville Cardiovascular Clinic Pa | Internal Medicine | 738 Bryant St, Suite A, Statesville, NC 28677-4189 | 2006-08-20 |
| 1659311207 | Charles A Deberardinis | Internal Medicine | 738 Bryant St, Suite A, Statesville, NC 28677-4189 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306472311 | Crystal Medley Hopkins | Nurse Practitioner | 105 Summer Breeze Court, Statesville, NC 28677 | 2020-03-21 |
| 1922634484 | Tracey Holton | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Easterseals Ucp, 913 Carolina Ave N, Statesville, NC 28677 | 2020-03-17 |
| 1962069286 | Leap Child & Family Services LLC | Developmental Therapist | 119 North Tradd Street, Statesville, NC 28677 | 2019-05-22 |
| 1831604891 | Ingles Markets Inc | Pharmacy | 722 Sullivan Rd, Statesville, NC 28677 | 2017-12-12 |
| 1235663162 | Sandra Lorraine Scalese | Physical Therapy Assistant | 520 Valley Street, Brian Center Health and Rehabilitation, Statesville, NC 28677 | 2017-04-18 |
| 1437698891 | Sherry Blevins Hager | Pharmacist | 722 Sullivan Road, Statesville, NC 28677 | 2017-02-17 |
| 1063828507 | Susan Marie S Sheffield | Dentist | 518 Brookdale Drive, Statesville, NC 28677 | 2014-07-04 |
| 1659782449 | Easter Seals Ucp | Community/Behavioral Health | 913 Carolina Ave, Statesville, NC 28677 | 2014-05-14 |
| 1306268016 | Randall Scott Perry | Dentist | 1132 Davie Avenue, Statesville, NC 28677 | 2014-01-15 |
| 1215215876 | Silhouette Enterprises | Prosthetic/Orthotic Supplier | 909 Carolina Ave, Statesville, NC 28677 | 2011-08-01 |
| Find all providers in zip 28677 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063559193 | Carolina Specialty Care,pa | Legal Medicine | 124 Sunset Hill Dr, Statesville, NC 28625-2729 | 2007-01-30 |
| 1275596439 | Carolina Specialty Care, Pa | Legal Medicine | 124 Sunset Hill Dr, Statesville, NC 28625-2729 | 2006-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417277278 | Charles Frazier Inc | Legal Medicine | 411 Parkway Ste E, Greensboro, NC 27401-1644 | 2010-06-03 |
| 1093948762 | Aa Management Corp Inc | Legal Medicine | 5225 Albemarle Rd, Charlotte, NC 28212-3604 | 2009-08-28 |
| 1669654901 | Elizabeth D Bryan Md Pa | Legal Medicine | 603 Beaman St Ste 402, Clinton, NC 28328-2689 | 2007-11-28 |
| 1235318577 | Grace Family Medicine | Legal Medicine | 902 Fleming St Ste B, Hendersonville, NC 28791-3504 | 2007-11-02 |
| 1447458757 | Cynthia Brown Greer | Legal Medicine | 224 Rabbit Run Rd, Boone, NC 28607-6829 | 2007-07-08 |
| 1700087483 | Carolinas Psychiatric Associates Christian Counseling Clinic Pa | Legal Medicine | 1552 Union Rd Ste C, Gastonia, NC 28054-5523 | 2007-05-30 |
| 1740496942 | Joseph Martin Lightsey | Legal Medicine | 831 West Morgan Street, Raleigh, NC 27699-4278 | 2007-05-15 |
| 1710003827 | Triangle Cardiology & Internal Medicine | Legal Medicine | 30 Cherokee Trl, Fletcher, NC 28732-9436 | 2007-03-21 |
| 1528195906 | Pamlico Pediatrics, PC | Legal Medicine | 13531 Hwy 55 West, Alliance, NC 28509 | 2007-02-27 |
| 1558422600 | Patricia Ann Chamberlin | Legal Medicine | 350 N Cox St Ste 12, Asheboro, NC 27203-5514 | 2006-12-13 |
| Find all providers with the same taxonomy | ||||
| City | STATESVILLE |
| Zip Code | 28677 |
Please comment or provide details below to improve the information on RUBY ANN 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.