DR. ROBERT ELSWORTH GRINDSTAFF (NPI# 1316995491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316995491 |
| Entity Type | Individual |
| Full Name | DR. ROBERT ELSWORTH GRINDSTAFF |
| Credential | M.D. |
| Practice Address |
2203 Mckinley Rd Ste 107 Johnson City TN 37604-6893 |
| Practice Telephone | 4239291092 |
| Practice Fax Number | 4239291158 |
| Mailing Telephone | 4239291092 |
| Mailing Fax Number | 4239291158 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2009-09-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD0000015810 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUECROSS BLUESHIELD | 0050810 | 01 |
| Street Address |
2203 MCKINLEY RD STE 107 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-6893 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619443520 | Angela Dykes | Occupational Therapist | 2203 Mckinley Rd, Johnson City, TN 37604-6893 | 2018-10-17 |
| 1699279901 | Ashley Johnson | Registered Nurse | 2203 Mckinley Rd, Johnson City, TN 37604-6893 | 2018-03-21 |
| 1447680582 | Amanda Lynn Mcgill | Dental Hygienist | 2203 Mckinley Rd, Johnson City, TN 37604-6893 | 2013-11-26 |
| 1487087003 | Integralabs Mdg Incorporated | Clinical Medical Laboratory | 2203 Mckinley Rd, Suite 120, Johnson City, TN 37604-6893 | 2013-08-19 |
| 1891024741 | David J Bumgarner | Counselor | 2203 Mckinley Rd, Johnson City, TN 37604 | 2009-12-23 |
| 1376728402 | Nput LLC | Durable Medical Equipment & Medical Supplies | 2203 Mckinley Rd, Ste 230, Johnson City, TN 37604-6474 | 2008-01-08 |
| 1609924463 | First Tennessee Human Resource Agency | Non-emergency Medical Transport (VAN) | 2203 Mckinley Rd, Suite 210, Johnson City, TN 37604-6474 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154775468 | Luke Spencer | Family Medicine | 917 W. Walnut Street, Johnson City Family Medicine Center, Johnson City, TN 37604 | 2016-04-22 |
| 1184043853 | Shivali M Patel | Family Medicine | 400 N State of Franklin Rd Fl 4, Johnson City, TN 37604-6035 | 2014-04-10 |
| 1306062542 | Debra J. Uncapher | Family Medicine | 1409 W Market St Ste 108, Johnson City, TN 37604-6005 | 2007-04-17 |
| 1609947944 | Daniela Pogan Wright | Family Medicine | 401 East Main Strette, Johnson City, TN 37601-4877 | 2006-11-10 |
| 1518978402 | Vance Cleveland Shaw | Family Medicine | 205 High Point Dr, Johnson City, TN 37601-1503 | 2006-08-10 |
| 1871528976 | Boones Creek Medical Pllc | Family Medicine | 2685 Boones Creek Road, Suite 104, Johnson City, TN 37615 | 2006-07-11 |
| 1063459410 | State of Franklin Healthcare Associates Pllc | Family Medicine | 2528 Wesley St, Suite 2, Johnson City, TN 37601-1724 | 2006-06-01 |
| 1184680787 | Paul E Moran IIi | Family Medicine | 1321 Sunset Dr, Suite 22, Johnson City, TN 37604-3698 | 2006-04-22 |
| 1295799120 | Guy W Robins | Family Medicine | 101 Med Tech Pkwy Ste 100, Johnson City, TN 37604-4006 | 2006-04-17 |
| 1285603985 | Krish Purswani | Family Medicine | 119 E King St, Suite 208, Johnson City, TN 37601-4721 | 2006-03-15 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
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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.