DR. MICHAEL LILLIS GRIMES (NPI# 1306837158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306837158 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL LILLIS GRIMES |
| Credential | D.M.D. |
| Practice Address |
2550 Mosside Blvd Suite 213 Monroeville PA 15146-3540 |
| Practice Telephone | 4128568002 |
| Mailing Telephone | 4128568002 |
| Enumeration Date | 2005-11-01 |
| Last Update Date | 2007-12-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DS-019035-L | PA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720595168 | Michael Nolan Grimes | Social Worker | 555 Palm Ave Apt 107, Millbrae, CA 94030-1846 | 2018-01-08 |
| 1124551551 | Michael Grimes | Driver | 4615 W Gate City Blvd Ste 7485, Greensboro, NC 27407-4239 | 2017-04-04 |
| 1275500720 | Michael Grimes | Podiatrist | 2150 Appian Way Ste 206, Pinole, CA 94564-2520 | 2006-03-03 |
| 1528481504 | Michael Grimes | Pharmacist | 475 S Davy Crockett Pkwy, Morristown, TN 37813-1902 | 2014-01-28 |
| 1225350861 | Michael A. Grimes | Dentist | 6301 S Dixie Hwy, West Palm Beach, FL 33405-4328 | 2010-02-24 |
| 1285969170 | Michael J Grimes | Pharmacist | 5901 Holabird Ave, Suite A, Baltimore, MD 21224-6015 | 2009-10-09 |
| 1053549964 | Michael Grimes | Internal Medicine | 1900 Waterdam Plaza Dr Ste 2, Canonsburg, PA 15317-5442 | 2009-06-30 |
| 1104083971 | Michael P Grimes | Obstetrics & Gynecology | 111 Medical Pkwy, Suite 202, Chesapeake, VA 23320-0302 | 2008-05-20 |
| 1043487614 | Michael A Grimes | Case Manager/Care Coordinator | 7107 W 12th St, Suite 201, Little Rock, AR 72204-2404 | 2008-05-13 |
| 1043382286 | Michael Adam Grimes | Pharmacist | 3210 Banksville Rd, Pittsburgh, PA 15216-2757 | 2006-11-14 |
| Street Address |
2550 MOSSIDE BLVD SUITE 213 |
| City | MONROEVILLE |
| State | PA |
| Zip Code | 15146-3540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730180308 | Thomas F Bonacorsi | Internal Medicine | 2550 Mosside Blvd, Suite 550, Monroeville, PA 15146-3540 | 2005-08-04 |
| 1235751140 | Nicolas Evan Merzlak | Family Medicine | 2550 Mosside Blvd, Monroeville, PA 15146-3540 | 2020-05-13 |
| 1023587813 | Timothy Patrick Wolfe | Specialist/Technologist, Other | 2550 Mosside Blvd, 4th Floor, Suite 405, Monroeville, PA 15146 | 2018-11-21 |
| 1881191146 | Gregory John Ferenchak | Student in an Organized Health Care Education/Training Program | 2550 Mosside Blvd, Monroeville, PA 15146-3540 | 2018-04-12 |
| 1538618699 | Kelley L Lodovico | Occupational Therapist | 2550 Mosside Blvd, Monroeville, PA 15146-3540 | 2016-09-29 |
| 1306395173 | John J Karp | Physical Therapist | 2550 Mosside Blvd, Monroeville, PA 15146-3540 | 2016-09-22 |
| 1568917409 | Megan Hiers | Physician Assistant | 2550 Mosside Blvd, Suite 405, Monroeville, PA 15146-3533 | 2016-08-21 |
| 1366894685 | Gurinder Sekhon | Family Medicine | 2550 Mosside Blvd, Suite 500, Monroeville, PA 15146-3540 | 2016-07-11 |
| 1952761587 | Dustin Richard Murdoch | Pharmacist | 2550 Mosside Blvd, Suite 210, Monroeville, PA 15146-3540 | 2016-02-24 |
| 1912392002 | Tessa M Kracinovsky | Physician Assistant | 2550 Mosside Blvd, Suite 405, Monroeville, PA 15146-3533 | 2015-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689217259 | Danielle Ulrich | Nurse Practitioner | 2626 Haymaker Road, Second Floor, Monroeville, PA 15146 | 2019-10-25 |
| 1659841286 | Catherine Mcewen Wilson | Social Worker | 339 Old Haymaker Road Suite 1102, Monroeville, PA 15146 | 2018-11-27 |
| 1750865432 | Diane Beth Alm | Dietitian, Registered | 2775 Mosside Boulevard Upmc East, Monroeville, PA 15146 | 2018-09-19 |
| 1477040673 | Kyle Hulsebus | Counselor | 339 Haymaker Rd Ste 1102, Monroeville, PA 15146 | 2018-04-13 |
| 1871047365 | Forefront Dermatology, S.c. | Dermatology | 339 Old Haymaker Rd Suite 201, Monroeville, PA 15146 | 2016-08-12 |
| 1801264163 | Danielle Wymard-tomlinson | Nurse Practitioner | 2570 Haymaker Rd Forbes Regional Hospital, Hospital Associates of Pittsburgh, Monroeville, PA 15146 | 2015-09-03 |
| 1902295421 | Andrea Kolano | Speech-Language Pathologist | 244 Center Road, Suite 205, Monroeville, PA 15146 | 2015-01-21 |
| 1366847592 | Grace Wagner | Counselor | 4314 Old William Penn Highway, Suite 204, Monroeville, PA 15146 | 2014-10-30 |
| 1093114001 | Stephanie Crishi | Speech-Language Pathologist | 4124 Monroeville Blvd, Monroeville, PA 15146 | 2014-08-14 |
| 1285052183 | Suzanne Oravetz | Specialist/Technologist | 2550 Mosside Boulevard, Monroeville, PA 15146 | 2014-03-29 |
| Find all providers in zip 15146 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679719967 | Aaron M Valasek | Dentist | 3845 Northern Pike, Suite 2, Monroeville, PA 15146-2132 | 2008-12-17 |
| 1366539785 | Mark S Pechersky | Dentist | 170 Jamison Ln, Monroeville, PA 15146-2327 | 2006-10-06 |
| 1649589250 | Katayoon Martin | Dentist | 2790 Mosside Blvd, 140, Monroeville, PA 15146-2743 | 2010-09-29 |
| 1881849800 | Matthew Price | Dentist | 2790 Mosside Blvd, Monroeville, PA 15146-2743 | 2008-11-18 |
| 1811042625 | Dentistry for Kids | Dentist | 2790 Mosside Blvd, Suite 140, Monroeville, PA 15146-2743 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598309106 | Sea of Smiles 4 LLC | Dentist | 361 Highland Ave Ste 203, Jenkintown, PA 19046-2632 | 2019-11-06 |
| 1538701594 | John Capparell & Connie Mallozzi | Dentist | 20 N Laurel St # 2-c, Hazleton, PA 18201-5948 | 2019-10-11 |
| 1215584503 | Bright Smiles Kids Dentistry | Dentist | 410 W Lancaster Ave Ste 106, Devon, PA 19333-1588 | 2019-08-21 |
| 1841846458 | Bensalem, Smiles Inc | Dentist | 2548 Street Rd, Bensalem, PA 19020-2644 | 2019-08-11 |
| 1154976991 | Advanced Pediatric Dentistry LLC | Dentist | 220 Cumberland Pkwy Ste 6&7, Mechanicsburg, PA 17055-5683 | 2019-08-08 |
| 1205495512 | Lanz Pediatric Dentistry, LLC | Dentist | 3402 Washington Rd Ste 205, Mc Murray, PA 15317-2964 | 2019-06-10 |
| 1982267084 | Farm Park Pediatric Dentistry | Dentist | 502 W Germantown Pike Ste 100, East Norriton, PA 19403-4232 | 2019-04-15 |
| 1053878892 | Alexis Gilliam | Dentist | 2820 Whiteford Rd, York, PA 17402-7620 | 2019-02-28 |
| 1346705050 | Happy Teeth Proffesionals, LLC | Dentist | 165 Levittown Pkwy Ste B, Levittown, PA 19055-2464 | 2019-02-06 |
| 1902373111 | Cavity Busters Doylestown LLC | Dentist | 708 N Shady Retreat Rd Ste 2, Doylestown, PA 18901-2503 | 2018-10-25 |
| Find all providers with the same taxonomy | ||||
| City | MONROEVILLE |
| Zip Code | 15146 |
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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.