MARK GRIMMETT (NPI# 1184605842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184605842 |
| Entity Type | Individual |
| Full Name | MARK GRIMMETT |
| Credential | PA-C |
| Practice Address |
2145 E Warner Rd Ste 104 Tempe AZ 85284-3549 |
| Mailing Address |
1839 S Alma School Rd Ste 354 Mesa AZ 85210-3028 |
| Practice Telephone | 4806649443 |
| Practice Fax Number | 4806649378 |
| Mailing Telephone | 4807262287 |
| Mailing Fax Number | 8883169272 |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2018-03-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 7034950001 | AZ | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 7057360001 | AZ | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 7046960001 | AZ | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 7045160001 | AZ | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 7209350001 | AZ | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 7047150001 | AZ | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 7629170001 | AZ | Suppliers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
6657 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14044 W Camelback Rd Ste 118, Litchfield Park, AZ 853409481 | 6235472600 | 6235471899 |
| Street Address |
2145 E WARNER RD STE 104 |
| City | TEMPE |
| State | AZ |
| Zip Code | 85284-3549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336643311 | Cory Robert Wilson | Chiropractor | 2145 E Warner Rd Ste 104, Tempe, AZ 85284-3549 | 2018-03-22 |
| 1851890859 | Lauren N Francis | Durable Medical Equipment & Medical Supplies | 2145 E Warner Rd Ste 104, Tempe, AZ 85284 | 2018-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275187726 | Satbir Khara | Dentist | 2010 E. Elliot Rd. Suite 105, Tempe, AZ 85284 | 2019-08-01 |
| 1093287187 | Tawnie C Caracci | Registered Nurse | 1437 W. Auto Drive, Tempe, AZ 85284 | 2018-12-30 |
| 1932695947 | Angels of Mercy Attendant Care LLC | In Home Supportive Care | 130 W Freda Rd, Tempe, AZ 85284 | 2018-07-03 |
| 1487169009 | Restorative Healing and Counseling Center LLC | Clinic/Center | 9855 S. Priest Drive, Suite 102, Tempe, AZ 85284 | 2017-12-05 |
| 1366964934 | Devoted Guardians Home Health LLC | Home Health | 1705 West Ruby Drive, #107, Tempe, AZ 85284 | 2017-07-14 |
| 1982134565 | Otilia Elizabeth Herrera Jaimes | Specialist/Technologist | 315 W. Elliot Road #107-250, Tempe, AZ 85284 | 2017-06-15 |
| 1982142873 | Tempe Outpatient Treatment Center LLC | Clinic/Center | 1001 E Warner Rd Ste 103, Tempe, AZ 85284 | 2017-02-10 |
| 1386180560 | Jenna Bernal | Registered Nurse | 931 E Elliot Rd Ste 115, Tempe, AZ 85284 | 2017-01-12 |
| 1780084533 | Mirvat Farah | Specialist/Technologist | 341 W El Freda Rd, Tempe, AZ 85284 | 2014-08-29 |
| 1245661503 | Janine L Roberts | Registered Nurse | 2033 E Warner Rd #109, Tempe, AZ 85284 | 2013-12-11 |
| Find all providers in zip 85284 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194246223 | Jamie Ostdiek | Physician Assistant | 7505 S Mcclintock Dr Ste 103, Tempe, AZ 85283-5042 | 2017-06-28 |
| 1356731624 | Suzanne Strickland | Physician Assistant | 3141 S Mcclintock Dr Ste 1, Tempe, AZ 85282-5682 | 2015-01-26 |
| 1053695437 | Dana Roberts Cohen | Physician Assistant | 1315 W. Southern Ave, Tempe, AZ 85282 | 2011-10-04 |
| 1548410368 | Nicole Marie Lupica | Physician Assistant | 2402 E 5th St, 1485, Tempe, AZ 85281-3390 | 2008-09-29 |
| 1730207184 | Celia R Alvarez-reeder | Physician Assistant | 2033 E Warner Rd, Suite 109, Tempe, AZ 85284-3417 | 2007-03-26 |
| 1376635581 | Carissa Dawn Colgrove | Physician Assistant | 2720 W Baseline Rd # 140, Tempe, AZ 85283 | 2006-09-28 |
| 1689666844 | Shannon E Lunders | Physician Assistant | 433 W. Broadway Road, Tempe, AZ 85281 | 2005-08-15 |
| 1992312474 | Jamie Romero | Physician Assistant | 2033 E Warner Rd Ste 109, Tempe, AZ 85284-3417 | 2020-09-28 |
| 1598238651 | Mcclintock Medical Group, LLC | Physician Assistant | 1855 E Guadalupe Rd Ste 112, Tempe, AZ 85283-3269 | 2019-01-10 |
| 1801374913 | Emma Reeve | Physician Assistant | 2127 E Baseline Rd Ste 104, Tempe, AZ 85283-1537 | 2018-07-31 |
| Find all providers in TEMPE | ||||
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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.