JENNIFER ANN-MARIE GRINAGE (NPI# 1396151395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396151395 |
| Entity Type | Individual |
| Full Name | JENNIFER ANN-MARIE GRINAGE |
| Credential | PA-C |
| Practice Address |
412 S. Main St Troy ID 83871 |
| Mailing Address |
700 S Main St Moscow ID 83843-3046 |
| Practice Telephone | 2088355550 |
| Practice Fax Number | 2088355554 |
| Mailing Telephone | 2088824511 |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2019-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA-1175 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | L&I NETWORK | 0335238 | 01 |
| WA | 1396151395 | 05 | |
| ID | 1396151395 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2315 8th St, Lewiston, ID 835017301 | 2087461383 | 2087466348 |
| Street Address |
412 S. MAIN ST |
| City | TROY |
| State | ID |
| Zip Code | 83871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023393709 | City of Troy | Ambulance | 521 Eagle Alley, Troy, ID 83871 | 2011-10-13 |
| 1588838684 | Troy School District 287 | Local Education Agency (LEA) | 103 Trojan Dr, Troy, ID 83871 | 2008-04-18 |
| 1477004828 | Gritman Medical Center Inc | General Practice | 412 S Main St, Troy, ID 83871 | 2016-10-20 |
| 1275900425 | Troy Volunteer Fire and Ambulance | Ambulance | 109 W 6th St, Troy, ID 83871 | 2015-08-24 |
| 1942567847 | Gritman Medical Center Inc | Physician Assistant | 412 S Main St, Troy, ID 83871-0415 | 2012-04-16 |
| 1245519495 | Susan Katherine Struble | Midwife, Lay | 1200 Cornwall Rd, Troy, ID 83871-9610 | 2011-08-05 |
| 1881202414 | Ann Chambers | Home Health | 1320 Dry Creek Rd, Troy, ID 83871-9664 | 2020-07-20 |
| 1467757583 | Dorothy Christine Brandt | Social Worker | 121 Big Meadow Rd, Troy, ID 83871-9671 | 2011-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740026 | Calvin Arnett | Private Vehicle | 2702 Fairmont Ct Apt A, Troy, OH 45373-7902 | 2020-11-08 |
| 1659972511 | Katiesianna Marie Kovalsky | Licensed Practical Nurse | 718 Griswold Hts, Troy, NY 12180-5168 | 2020-11-05 |
| 1548861693 | Asset Health, Inc. | Contractor | 2250 Butterfield Dr Ste 100, Troy, MI 48084-3411 | 2020-11-05 |
| 1063013415 | Carl Mark Cacciotti | Nurse Practitioner | 81 Sweetmilk Creek Rd, Troy, NY 12180-9100 | 2020-11-03 |
| 1649871161 | Martor Case Management LLC | Durable Medical Equipment & Medical Supplies | 400 Jordan Rd, Troy, NY 12180-8378 | 2020-11-02 |
| 1619577442 | Fhpg, LLC | Nurse Practitioner | 770 Glen Rd, Troy, NC 27371 | 2020-10-30 |
| 1538768247 | Rose Urkevich | Dietitian, Registered | 65 Lake Shore Dr, Troy, NY 12180-9722 | 2020-10-23 |
| 1629676275 | Chester Counseling LLC | Social Worker | 2833 Crooks Rd Ste 104, Troy, MI 48084-4732 | 2020-10-15 |
| 1700484375 | Troy Cosmetic and Implant Dental Center Pllc | Clinic/Center | 4770 Rochester Rd Ste 106, Troy, MI 48085-4951 | 2020-10-15 |
| 1043818859 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 6828 Rochester Rd, Troy, MI 48085-1291 | 2020-10-14 |
| Find all providers in TROY | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154929016 | Angela Varghese | Physician Assistant | 461 Tanner Dr, Troy, MI 48085-4714 | 2020-10-13 |
| 1275146284 | Abigail Christine Miller | Physician Assistant | 4145 Butternut Hill Dr, Troy, MI 48098-4283 | 2020-08-28 |
| 1649882507 | Laurel Jeanne Seabolt | Physician Assistant | 4426 Holly Dr, Troy, MI 48085-4813 | 2020-08-20 |
| 1477164499 | Megan Turner | Physician Assistant | 3130 N County Rd, Troy, OH 45373-1337 | 2020-08-13 |
| 1487278800 | Rachel Barton | Physician Assistant | 2559 Palmerston Dr, Troy, MI 48084-1021 | 2020-06-01 |
| 1649891375 | Meagan Elizabeth Cuff | Physician Assistant | 3815 Ledge Dr, Troy, MI 48084-1141 | 2020-05-05 |
| 1487298329 | Megan Shelly | Physician Assistant | 2571 Hounds Chase Dr, Troy, MI 48098-2338 | 2019-11-04 |
| 1053952341 | Amanda Kate Livolsi | Physician Assistant | 258 Hoosick St Ste 106, Troy, NY 12180-2446 | 2019-10-08 |
| 1952961377 | Harsimran Grewal | Physician Assistant | 6053 Mayapple Dr, Troy, MI 48085-1065 | 2019-06-18 |
| 1457918237 | Cherita A Garcia | Physician Assistant | 1330 Us-231, Troy, AL 36081 | 2019-05-28 |
| Find all providers in TROY | ||||
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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.