DR. ROGER G GRIMBALL (NPI# 1366444093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366444093 |
| Entity Type | Individual |
| Full Name | DR. ROGER G GRIMBALL |
| Credential | MD |
| Practice Address |
920 1st Ave Sulphur LA 70663-3425 |
| Practice Telephone | 3375276301 |
| Practice Fax Number | 3375279194 |
| Mailing Telephone | 3375276301 |
| Mailing Fax Number | 3375279194 |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 011615 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1121177 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003830597 | Roger Glen Grimball Jr. | Dentist | 910 Beglis Pkwy, Sulphur, LA 70663-5102 | 2006-07-27 |
| Street Address |
920 1ST AVE |
| City | SULPHUR |
| State | LA |
| Zip Code | 70663-3425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942202536 | Allen C Richert | Family Medicine | 920 1st Ave, Sulphur, LA 70663-3425 | 2005-08-12 |
| 1801133913 | Calcasieu Cameron Hospital Service District | Family Medicine | 920 1st Ave, Sulphur, LA 70663-3425 | 2013-01-09 |
| 1164656146 | Calcasieu Family Physicians, Apmc | Family Medicine | 920 1st Ave, Sulphur, LA 70663-3425 | 2009-05-06 |
| 1700051133 | Jason Brian Fuqua | Family Medicine | 920 1st Ave, Sulphur, LA 70663-3425 | 2008-04-27 |
| 1861667297 | Kelly Marie Fuqua | Family Medicine | 920 1st Ave, Sulphur, LA 70663-3425 | 2008-04-27 |
| 1194717892 | Grimball & Richert Clinic | Family Medicine | 920 1st Ave, Sulphur, LA 70663-3425 | 2005-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457822751 | Imperial Calcasieu Human Services Authority | Clinic/Center | 2651 E Napoleon St, Sulphur, LA 70663 | 2018-12-12 |
| 1083134670 | Leah Lowe | Nurse Practitioner | 1019 Mathew St., Sulphur, LA 70663 | 2017-06-23 |
| 1972037166 | Collins Orthopaedics LLC | Orthopaedic Surgery | 250 S Beglis Parkway, Ste 3, Sulphur, LA 70663 | 2017-04-14 |
| 1699219238 | Charles Miah Smith | Family Medicine | 231 W Houston River Rd., Sulphur, LA 70663 | 2016-12-16 |
| 1598213357 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 1000 Beglis Pkwy, Sulphur, LA 70663 | 2016-09-21 |
| 1992129019 | Healthscripts of America-southwest Louisiana,llc | Pharmacy | 1575 Maplewood Drive, Suite A, Sulphur, LA 70663 | 2014-02-10 |
| 1679900476 | Evergreen Presbyterian Ministries, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2108 Division Street, Sulphur, LA 70663 | 2013-10-11 |
| 1295065241 | Journey Behavioral Health, LLC | Psychologist | 423 Cypress St., Sulphur, LA 70663 | 2010-01-13 |
| 1558513754 | C H Wilkinson Physician Network | Nurse Practitioner | 525 North City Service Hwy, Sulphur, LA 70663 | 2008-10-21 |
| 1689853343 | Stelly Physical &occupational Therapy | Occupational Therapist | 946 Beglis Parkway, Sulphur, LA 70663 | 2007-10-30 |
| Find all providers in zip 70663 | ||||
| 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 |
|---|---|---|---|---|
| 1699219238 | Charles Miah Smith | Family Medicine | 231 W Houston River Rd., Sulphur, LA 70663 | 2016-12-16 |
| 1023101110 | Sulphur Clinic Inc. | Family Medicine | 921 W 11th St, Sulphur, OK 73086-4459 | 2006-10-02 |
| 1194838078 | Tammy Mitchell | Family Medicine | 301 S Cities Service Hwy, Sulphur, LA 70663-6405 | 2006-08-16 |
| 1699790089 | Dang Nguyen | Family Medicine | 3702 Maplewood Dr, Sulphur, LA 70663-6302 | 2006-07-13 |
| 1124068366 | Randal A Williams | Family Medicine | 220 W Vinita Ave, Sulphur, OK 73086-3805 | 2006-06-07 |
| 1174514533 | Sulphur Urgent Care, LLC | Family Medicine | 3924 Maplewood Dr, Sulphur, LA 70663-6352 | 2005-11-03 |
| 1336133677 | Kevin Thomas Schlamp | Family Medicine | 921 1st Ave, Sulphur, LA 70663-3424 | 2005-09-01 |
| 1942202536 | Allen C Richert | Family Medicine | 920 1st Ave, Sulphur, LA 70663-3425 | 2005-08-12 |
| 1144221615 | Jose Mauricio Gonzales | Family Medicine | 2509 Maplewood Dr., Sulphur, LA 70663 | 2005-08-09 |
| 1255331518 | Brian Wayne Stewart | Family Medicine | 2509 Maplewood Dr, Sulphur, LA 70663-6105 | 2005-07-28 |
| Find all providers in SULPHUR | ||||
Please comment or provide details below to improve the information on DR. ROGER G GRIMBALL.
| 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.