KEVIN GRIERSON (NPI# 1154770048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154770048 |
| Entity Type | Individual |
| Full Name | KEVIN GRIERSON |
| Credential | DPM |
| Practice Address |
2281 Cleveland Ave Santa Rosa CA 95403-2905 |
| Practice Telephone | 7075443337 |
| Mailing Telephone | 7075443337 |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2019-06-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
0116029440 | VA | Podiatric Medicine & Surgery Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3300 Gallows Rd, Original Building, Falls Church, VA 220423307 | 7037766141 |
| Street Address |
2281 CLEVELAND AVE |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95403-2905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548336605 | Walter Francis D'costa | Podiatrist | 2281 Cleveland Ave, Santa Rosa, CA 95403-2905 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912549841 | Abundance Acupuncture Healing Clinic | Acupuncturist | 3410 Mendocino Avenue, Santa Rosa, CA 95403 | 2019-10-11 |
| 1982161337 | Crystal J Ward | Registered Nurse | 2350 Mendocino Ave, Ste A4, Santa Rosa, CA 95403 | 2019-02-21 |
| 1033674379 | George Edward Griese | Respiratory Therapist, Registered | 501 Bicentennial Way, Santa Rosa, CA 95403 | 2019-01-31 |
| 1508320672 | East-west Natural Medicine Inc. | Acupuncturist | 2200 Range Ave #207, Santa Rosa, CA 95403 | 2019-01-23 |
| 1316410640 | Lionel C Cooper | Counselor | 315 Mark West Springs Road, Santa Rosa, CA 95403 | 2019-01-09 |
| 1326519182 | Jkb Solutions Inc. | In Home Supportive Care | 3554 Round Barn Boulevard, Suite 311, Santa Rosa, CA 95403 | 2018-12-05 |
| 1487121265 | Catholic Charities of The Diocese of Santa Rosa | Clinic/Center | 987 Airway Ct, Santa Rosa, CA 95403 | 2018-10-30 |
| 1447746524 | Lisa Jean Quang | Optometrist | 3925 Old Redwood, Medical Office Building 4, Suite 141, Santa Rosa, CA 95403 | 2018-07-02 |
| 1598253353 | Jennifer Renee Lummus | Community Health Worker | 3614 Condo Court, Santa Rosa, CA 95403 | 2018-04-27 |
| 1871042366 | Sadie Thuet | Marriage & Family Therapist | 3434 A Mendocino Ave, Santa Rosa, CA 95403 | 2016-09-26 |
| Find all providers in zip 95403 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245492321 | Northern California Medical Assoc Inc | Podiatrist | 1701 4th St Ste 100, Santa Rosa, CA 95404 | 2008-06-30 |
| 1417131871 | Larry A Smith | Podiatrist | 1041 4th St Ste B, Santa Rosa, CA 95404-4329 | 2007-12-20 |
| 1841315736 | Thomas J Chang | Podiatrist | 208 Concourse Boulevard, Suite 1, Santa Rosa, CA 95403-8210 | 2007-03-20 |
| 1306877006 | Steven Park Kim | Podiatrist | 4761 Hoen Ave, Santa Rosa, CA 95405-7862 | 2006-07-05 |
| 1518926252 | Deha Karaoglan | Podiatrist | 1041 4th St, Suite B, Santa Rosa, CA 95404-4329 | 2006-03-21 |
| 1104822758 | John Dirk Hollander | Podiatrist | 95 Montgomery Dr Ste 114, Santa Rosa, CA 95404-6617 | 2005-06-27 |
| 1528555281 | Parkview Podiatry | Podiatrist | 1255 N Dutton Ave, Santa Rosa, CA 95401-4663 | 2018-04-18 |
| 1841618386 | Rachel Hoyal Dpm Inc A Professional Corporation | Podiatrist | 1041 4th St, Ste B, Santa Rosa, CA 95404-4329 | 2014-04-02 |
| 1164705174 | Northern California Medical Assoc Inc | Podiatrist | 4761 Hoen Ave, Santa Rosa, CA 95405-7862 | 2011-09-26 |
| 1770875437 | Deha Karaoglan | Podiatrist | 1041 4th St Ste B, Santa Rosa, CA 95404-4329 | 2011-05-12 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95403 |
Please comment or provide details below to improve the information on KEVIN GRIERSON.
| 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.