CAROL R. GRIMMER (NPI# 1225430929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225430929 |
| Entity Type | Individual |
| Full Name | CAROL R. GRIMMER |
| Credential | NP |
| Practice Address |
26750 Providence Pkwy Suite 210 Novi MI 48374-1211 |
| Practice Telephone | 2484654782 |
| Mailing Telephone | 2484654782 |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2016-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704148154 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
4704148154 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
26750 PROVIDENCE PKWY SUITE 210 |
| City | NOVI |
| State | MI |
| Zip Code | 48374-1211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750367009 | John D Miller | Podiatrist | 26750 Providence Pkwy, Suite 130, Novi, MI 48374-1211 | 2005-12-19 |
| 1851941462 | Lisa Sue Hoatlin | Occupational Therapist | 26750 Providence Pkwy, Novi, MI 48374-1211 | 2019-09-16 |
| 1699292698 | Jesse Ray Steenwyk | Specialist/Technologist | 26750 Providence Pkwy, Novi, MI 48374-1211 | 2017-08-29 |
| 1336598283 | James Allen Hyland | Physician Assistant | 26750 Providence Pkwy, # 220, Novi, MI 48374-1211 | 2016-06-10 |
| 1053758391 | Porretta Center for Orthopaedic Surgery PC | Durable Medical Equipment & Medical Supplies | 26750 Providence Pkwy, Ste 200, Novi, MI 48374-1211 | 2013-05-28 |
| 1902101520 | Vhs Physicians of Michigan | Orthopaedic Surgery | 26750 Providence Pkwy, Suite 210, Novi, MI 48374-1211 | 2011-01-12 |
| 1609006279 | William K. Kesto | Specialist | 26750 Providence Pkwy, Ste 200, Novi, MI 48374-1212 | 2009-07-17 |
| 1144457102 | Associated Podiatrists,pc | Podiatrist | 26750 Providence Pkwy, Suite 130, Novi, MI 48374-1211 | 2009-06-17 |
| 1417113036 | Erik Brian Eller | Specialist | 26750 Providence Pkwy, Ste 200, Novi, MI 48374-1212 | 2008-08-03 |
| 1427210038 | Eric Austin Neal | Physical Therapist | 26750 Providence Pkwy, Suite 200, Novi, MI 48374-1211 | 2008-06-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902323884 | Jhansi Navuluri | Physical Therapist | 27579 Etrada Lane, Novi, MI 48374 | 2017-08-23 |
| 1609306422 | James Vanderhaeghen | Foster Care Agency | 24375 Homestead Ct, Novi, MI 48374 | 2017-06-14 |
| 1558810622 | Iryna Chaykivska | Nurse Anesthetist, Certified Registered | 47601 Grand River Avenue, Novi, MI 48374 | 2016-09-29 |
| 1477937944 | Joseph Smola | Chiropractor | 48000 Grand River Ave, Novi, MI 48374 | 2015-07-15 |
| 1881005114 | Alpha Medical Services PC | Internal Medicine | 26131, Sunbury Ct, Novi, MI 48374 | 2014-05-08 |
| 1043565443 | Jason J Rizqallah | Surgery | 47601 Grand River Ave # B136, Novi, MI 48374 | 2012-07-21 |
| 1780992628 | Khyati Patel | Internal Medicine | 26850 Providence Pkwy Ste 420, Novi, MI 48374 | 2010-09-14 |
| 1891963799 | Luann Marie Redmond | Social Worker | 50598 Montana, Novi, MI 48374 | 2008-02-13 |
| 1427249424 | Ajay V Raman | Anesthesiology | 24875 Novi Road #454, Novi, MI 48374 | 2007-08-05 |
| 1003948233 | Sam's Club Optical | Technician/Technologist | 27300 Wixon Road, Novi, MI 48374 | 2007-03-12 |
| Find all providers in zip 48374 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659992519 | Amie Corr | Nurse Practitioner | 45757 Lakeview Ct Apt 17203, Novi, MI 48377-3850 | 2020-05-02 |
| 1396386215 | Carly Wilson | Nurse Practitioner | 40606 Mill Road Ct E, Novi, MI 48375-5023 | 2019-10-02 |
| 1225593726 | Daniel Woodward Mead | Nurse Practitioner | 39500 W 10 Mile Rd Ste 100, Novi, MI 48375 | 2019-02-08 |
| 1679075758 | Andrea Campbell | Nurse Practitioner | 44000 W 12 Mile Rd Ste 113, Novi, MI 48377 | 2018-03-05 |
| 1871940973 | Jaime Durante | Nurse Practitioner | 44070 W. 12 Mile Rd, Suite 100, Novi, MI 48377 | 2016-05-18 |
| 1710381967 | Jonathan Woywod | Nurse Practitioner | 30178 Warley Ct, Novi, MI 48377-2193 | 2014-10-17 |
| 1558619536 | Lauren Ann Chipponeri | Nurse Practitioner | 47601 Grand River Ave Ste B229, Novi, MI 48374-1257 | 2012-08-21 |
| 1902131915 | Tamara D Millard | Nurse Practitioner | 39595 W 10 Mile Rd Ste 102, Novi, MI 48375 | 2009-10-08 |
| 1710598461 | Ann Marie Quinlan | Nurse Practitioner | 41850 W 11 Mile Rd Ste 207, Novi, MI 48375-1820 | 2020-08-14 |
| 1023641727 | Lorraine Lee Burgunder-zdravkovski | Nurse Practitioner | 26850 Providence Pkwy Ste 300, Novi, MI 48374-1259 | 2020-02-20 |
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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.