RYAN TIMOTHY GRIMM (NPI# 1497072532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497072532 |
| Entity Type | Individual |
| Full Name | RYAN TIMOTHY GRIMM |
| Credential | M.D. |
| Practice Address |
333 E County Line Road Suite B Greenwood IN 46143-1080 |
| Mailing Address |
6626 E 75th St Suite 500 Indianapolis IN 46250-2805 |
| Practice Telephone | 3174976333 |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2020-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 01071541A | IN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | IN | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201095340 | 05 |
| Street Address |
333 E COUNTY LINE ROAD SUITE B |
| City | GREENWOOD |
| State | IN |
| Zip Code | 46143-1080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395299 | Tiffany Smirat | Pharmacist | 882 S Sr 135, Greenwood, IN 46143 | 2020-10-27 |
| 1083250138 | Benajmin Thomas Nyboer | Pharmacist | 5961 North State Road 135, Kroger Pharmacy, Greenwood, IN 46143 | 2019-11-25 |
| 1609417260 | Orthopaedics-indianapolis, Inc | Orthopaedic Surgery | 1579 Olive Branch Parke Lane, Suite 130, Greenwood, IN 46143 | 2019-10-04 |
| 1194282525 | Homebased Mental Health Service | Case Management | 2244 Blossom Dr, Greenwood, IN 46143 | 2019-02-21 |
| 1710478078 | Anne E Packard | Pharmacist | 333 E County Line Rd # 101, Greenwood, IN 46143 | 2018-05-22 |
| 1033607924 | Ez Clinic Inc. | Nurse Practitioner | 494 S Emerson Ave Ste I, Greenwood, IN 46143 | 2018-04-25 |
| 1891246633 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 5961 N Sr 135, Greenwood, IN 46143 | 2016-10-17 |
| 1477919637 | Ourhealth Physicians Group, LLC | Clinic/Center | 1273 N Emerson Ave Ste H, Greenwood, IN 46143 | 2016-01-04 |
| 1003212655 | American Health Network of Indiana, LLC | Non-Pharmacy Dispensing Site | 2355 Endress Place St A, Healthy Measures Wellness Clinic, Greenwood, IN 46143 | 2014-11-10 |
| 1265831366 | Katie D'agosto | Counselor | 3000 S State Road 135 Ste 230, Greenwood, IN 46143 | 2014-08-14 |
| Find all providers in zip 46143 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841715539 | Happicare One LLC Ppec Pediatric Daycare | Pediatrics | 213 W Park Ave, Greenwood, MS 38930-3008 | 2017-08-03 |
| 1043420078 | Jennifer Lynn Havener | Pediatrics | 333 E County Line Rd Ste B, Greenwood, IN 46143 | 2007-05-22 |
| 1952357667 | Brenda P Viegas | Pediatrics | 360 S Madison Ave, # 210, Greenwood, IN 46142-3150 | 2006-05-25 |
| 1790754000 | Billy Boldon | Pediatrics | 1405 Strong Ave, Greenwood, MS 38930-4035 | 2006-03-17 |
| 1649245101 | Marjorie E Lake | Pediatrics | 3209 W Smith Valley Rd, Ste. 251, Greenwood, IN 46142-8495 | 2006-02-20 |
| 1386620961 | Jeremy Wade Roscoe | Pediatrics | 401 Camby Ct, Greenwood, IN 46142-4085 | 2005-12-15 |
| 1649252610 | Erica R Fledderjohn | Pediatrics | 900 Averitt Rd, Greenwood, IN 46143-9540 | 2005-11-16 |
| 1215919295 | Christina C Fox | Pediatrics | 1703 W Stones Crossing Rd Ste 330, Greenwood, IN 46143-8558 | 2005-11-16 |
| 1962403436 | Clark Kramer | Pediatrics | 1040 Sierra Drive, Suite 400, Greenwood, IN 46143-7241 | 2005-08-09 |
| 1487657870 | Juan Miguel Bonetti | Pediatrics | 113 Liner Dr, Greenwood, SC 29646-2311 | 2005-05-31 |
| Find all providers in GREENWOOD | ||||
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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.