DR. ERIC GRIMM (NPI# 1578517447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578517447 |
| Entity Type | Individual |
| Full Name | DR. ERIC GRIMM |
| Credential | D.O. |
| Practice Address |
12798 W Forest Hill Blvd Suite 301a Wellington FL 33414-4750 |
| Practice Telephone | 5617959150 |
| Practice Fax Number | 5617987700 |
| Mailing Telephone | 5617959150 |
| Mailing Fax Number | 5617987700 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2007-08-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
OS 7193 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 2719860-00 | 05 |
| Street Address |
12798 W FOREST HILL BLVD SUITE 301A |
| City | WELLINGTON |
| State | FL |
| Zip Code | 33414-4750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548212285 | Gabrielle Kater | Radiology | 12798 W Forest Hill Blvd, Suit 301a, Wellington, FL 33414-4750 | 2006-05-17 |
| 1588855738 | Francisco E Jimenez | Dentist | 12798 W Forest Hill Blvd, Suite 305, Wellington, FL 33414 | 2007-08-05 |
| 1134160757 | Stephanie Carrol | Physician Assistant | 12798 W Forest Hill Blvd, Suite 301a, Wellington, FL 33414-4750 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932707247 | Juana Maria Gonzales | Home Health | 2766 Penhall Ct, Wellington, FL 33414 | 2020-10-09 |
| 1821601089 | Wellington Rehab and Health Center, LLC | Skilled Nursing Facility | 10330 Nu Vista Ave, Wellington, FL 33414 | 2020-08-27 |
| 1730661158 | Michelle Alexis Anagnostu | Nurse Practitioner | 1447 Medical Park Blvd Suite 406, Wellington, FL 33414 | 2018-09-01 |
| 1932686193 | Borola Inc | Occupational Therapy Assistant | 1985 Canterbury Circle, Wellington, FL 33414 | 2018-07-20 |
| 1841783156 | Kid'z World Advance Inc | Behavioral Analyst | 2400 Wrotham Ter, Wellington, FL 33414 | 2018-06-11 |
| 1134619489 | Devin Michael Scheller | Counselor | 2077 Vinings Circle Apt 1303, Wellington, FL 33414 | 2018-05-12 |
| 1942726617 | Amanda Hardy | Social Worker | 11120 South Way, Suite 1, Wellington, FL 33414 | 2017-08-15 |
| 1467976423 | Dawn Carnegia Blackshear | Nurse Practitioner | 1397 Medical Park Blvd Ste 480, Wellington, FL 33414 | 2017-08-01 |
| 1508390238 | Morgan Mccollum | Speech-Language Pathologist | 2158 Polo Gardens Dr Apt 203, Wellington, FL 33414 | 2017-04-19 |
| 1003369786 | Memite G Charlemagne | Registered Nurse | 184 Berenger Walk, Royal Palm Beach, FL 33414 | 2016-07-28 |
| Find all providers in zip 33414 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053963207 | The Rave Clinic, LLC | Radiology | 2767 S State Road 7, Wellington, FL 33414-9320 | 2019-07-09 |
| 1851754980 | South Florida Diagnostic Resources LLC | Radiology | 10754 Versailles Blvd, Wellington, FL 33449-8086 | 2016-04-05 |
| 1386034668 | Advanced Metropolitan Radiology LLC | Radiology | 9425 Worswick Ct, Wellington, FL 33414-6423 | 2015-01-26 |
| 1962590133 | Barbara Ann Nitsch | Radiology | 2618 Players Ct, Wellington, FL 33414-6296 | 2006-10-11 |
| 1326093816 | Eric M Baumel | Radiology | 12788 Forest Hill Blvd, Suite 1003, Wellington, FL 33414-4703 | 2006-05-23 |
| 1952353856 | Western Imaging Inc | Radiology | 11101 S Crown Way, Suite 1, Wellington, FL 33414-8792 | 2006-05-17 |
| 1003868878 | Richard Steven Gordon | Radiology | 10957 Northgreen Dr, Wellington, FL 33449-8054 | 2006-05-17 |
| 1548212285 | Gabrielle Kater | Radiology | 12798 W Forest Hill Blvd, Suit 301a, Wellington, FL 33414-4750 | 2006-05-17 |
| 1356393086 | Thomas Kirchner | Radiology | 3461 Fairlane Farms Road, Wellington, FL 33414-8792 | 2006-05-17 |
| 1619948387 | Bradley M Cohen | Radiology | 2565 S State Road 7, Wellington, FL 33414-9368 | 2006-01-30 |
| Find all providers in WELLINGTON | ||||
| City | WELLINGTON |
| Zip Code | 33414 |
Please comment or provide details below to improve the information on DR. ERIC GRIMM.
| 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.