DR. MICHAEL G GRIMES (NPI# 1336122175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336122175 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL G GRIMES |
| Credential | MD |
| Practice Address |
4774 Munson St Nw Suite 401 Canton OH 44718-3634 |
| Mailing Address |
270 East State Street Suite 240 Alliance OH 44601-3634 |
| Practice Telephone | 3307544431 |
| Practice Fax Number | 3307775499 |
| Mailing Telephone | 3305966560 |
| Enumeration Date | 2005-11-25 |
| Last Update Date | 2017-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 35077014G | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2256311 | 05 |
| 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 |
4774 MUNSON ST NW SUITE 401 |
| City | CANTON |
| State | OH |
| Zip Code | 44718-3634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821093139 | George Thomas Williams | Dentist | 4774 Munson St Nw, Suite 303, Canton, OH 44718-3634 | 2005-06-15 |
| 1902279094 | Progressive Medical Specialists | Physical Medicine & Rehabilitation | 4774 Munson St Nw, Suite 204, Canton, OH 44718-3634 | 2015-11-11 |
| 1275910226 | Williams Family Dental Group Inc | Clinic/Center | 4774 Munson St Nw, Suite 303, Canton, OH 44718-3634 | 2015-04-29 |
| 1336530641 | Unity Health Network, LLC | Durable Medical Equipment & Medical Supplies | 4774 Munson St Nw, Suite 100, Canton, OH 44718-3634 | 2015-02-09 |
| 1457760068 | George Robert Williams | Dentist | 4774 Munson St Nw, Ste 303, Canton, OH 44718-3634 | 2014-08-07 |
| 1780013946 | Stephanie Stubblefield | Nurse Practitioner | 4774 Munson St Nw, Suite 401, Canton, OH 44718-3634 | 2013-11-07 |
| 1770929408 | Maximillian Gustav Beushausen | Dentist | 4774 Munson St Nw, Suite 102, Canton, OH 44718-3634 | 2013-05-21 |
| 1023358280 | Premier Health and Wellness Center, LLC | Family Medicine | 4774 Munson St Nw, Canton, OH 44718-3634 | 2013-02-26 |
| 1912278730 | Larissa Marie Tilley | Chiropractor | 4774 Munson St Nw, Suite 302, Canton, OH 44718-3634 | 2012-01-25 |
| 1164731519 | Dania Kafri | Dentist | 4774 Munson St Nw, Suite 304, Canton, OH 44718-3634 | 2010-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639658057 | Christine Lynn Mccrone | Psychologist | 4450 Belden Village St Nw Ste 701, Canton, OH 44718 | 2018-08-07 |
| 1295252500 | Dora C Holliday | Student in an Organized Health Care Education/Training Program | 4641 Fulton Dr N.w., Canton, OH 44718 | 2017-08-28 |
| 1770035487 | A B A Let's Play, Inc. | Community/Behavioral Health | 6304 Shipslanding Ave Nw, Canton, OH 44718 | 2016-10-28 |
| 1457710139 | Aria Lg Counseling and Wellness Center, LLC | Clinic/Center | 5262 Fulton Road Nw, Canton, OH 44718 | 2016-02-23 |
| 1457722365 | Melinda R Bond | Nurse Practitioner | 4105 Holiday Street Nw, Canton, OH 44718 | 2015-10-19 |
| 1164804860 | Ashley Marie Whetsell | Dentist | 4550 Belden Village Street Nw, Canton, OH 44718 | 2015-06-18 |
| 1346643749 | Emil D. Poporad, Dds | Dentist | 4124 Fulton Rd. N.w., Suite 102, Canton, OH 44718 | 2014-09-30 |
| 1699198390 | Lauri Sanders | Social Worker | 5860 Fulton Dr Nw, Canton, OH 44718 | 2014-01-31 |
| 1376893768 | Courteney R Briceland | Social Worker | 4641 Fulton Rd. Nw, Canton, OH 44718 | 2012-09-13 |
| 1982953220 | Lyudmyla Z Rockaway | Marriage & Family Therapist | 4895 Dressler Road Nw, Ste A, Canton, OH 44718 | 2012-08-31 |
| Find all providers in zip 44718 | ||||
| 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 |
|---|---|---|---|---|
| 1124629365 | Dima Healthcare, Inc | Family Medicine | 7768 Cumming Hwy Ste 300, Canton, GA 30115-2982 | 2020-11-04 |
| 1396342606 | Kiwi Virtual Health Care Pllc | Family Medicine | 40618 Blythefield Ln, Canton, MI 48188-2251 | 2020-10-08 |
| 1417571142 | K Loor Medical LLC | Family Medicine | 1750 Marietta Hwy Ste 250, Canton, GA 30114-8388 | 2020-05-28 |
| 1336762913 | Favor Family Medical Practice | Family Medicine | 103 Mountain Brook Dr Ste 100, Canton, GA 30115-9078 | 2020-05-18 |
| 1679051213 | Edward Arthur Hill | Family Medicine | 6104 Cedar Lane Nw, Canton, OH 44708 | 2018-08-06 |
| 1073012118 | Mea Primary Care Plus LLC | Family Medicine | 112 Southlake Cir, Canton, MS 39046-5368 | 2018-02-05 |
| 1629592175 | Healthy U Academy, LLC | Family Medicine | 1226 Market Ave N, Canton, OH 44714-2604 | 2017-07-26 |
| 1629508114 | Zeinab M Makki | Family Medicine | 7330 N Canton Center Rd Ste 111, Canton, MI 48187-1538 | 2017-06-15 |
| 1366805210 | Michael Wowk | Family Medicine | 1600 S Canton Center Rd Ste 220, Canton, MI 48188-6276 | 2016-03-29 |
| 1184036832 | Courtney Weaver | Family Medicine | 15 Reinhardt College Pkwy Ste 100, Canton, GA 30114-5259 | 2014-05-29 |
| Find all providers in CANTON | ||||
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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.