MS. ANN M GRIMES (NPI# 1649401985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649401985 |
| Entity Type | Individual |
| Full Name | MS. ANN M GRIMES |
| Other Name | MISS ANN M CUNNINGHAM |
| Credential | PA-C |
| Practice Address |
2520 Elisha Ave Cancer Treatment Centers of America Zion IL 60099 |
| Mailing Address |
2361 Paysphere Circle Cancer Treatment Centers of America Chicago IL 60674 |
| Practice Telephone | 8003229183 |
| Mailing Telephone | 8003229183 |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2020-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085.005166 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760705743 | Ann Y Grimes | Occupational Therapy Assistant | 1901 N 5th St, Harrisburg, PA 17102-1510 | 2010-03-05 |
| Street Address |
2520 ELISHA AVE CANCER TREATMENT CENTERS OF AMERICA |
| City | ZION |
| State | IL |
| Zip Code | 60099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134115769 | Ashwin Murigeppa Sheelvanth | Internal Medicine | 2520 Elisha Ave, Zion, IL 60099-2676 | 2005-09-20 |
| 1306470364 | Mariah Long | 2520 Elisha Ave, Zion, IL 60099-2676 | 2020-02-28 | |
| 1881153575 | Deborah Green | Specialist/Technologist, Other | 2520 Elisha Ave, Zion, IL 60099-2676 | 2019-03-13 |
| 1740748094 | Amy Anne Wisniewski | Registered Nurse | 2520 Elisha Ave, Zion, IL 60099-2676 | 2019-03-06 |
| 1144794983 | Williams K. Ojo | Specialist/Technologist, Other | 2520 Elisha Ave, Zion, IL 60099-2676 | 2019-01-15 |
| 1912486135 | Julia Fechtner | Dietitian, Registered | 2520 Elisha Ave, Zion, IL 60099-2676 | 2018-08-08 |
| 1417436791 | Jarrett Cramer Stoll | Dietitian, Registered | 2520 Elisha Ave, Zion, IL 60099-2676 | 2018-08-08 |
| 1982182135 | Danielle Hill | Dietitian, Registered | 2520 Elisha Ave, Zion, IL 60099-2676 | 2018-07-31 |
| 1295213395 | Kirsten Kane | Dietitian, Registered | 2520 Elisha Ave, Zion, IL 60099-2676 | 2018-07-31 |
| 1932686482 | Sadie Dahlk | Dietitian, Registered | 2520 Elisha Ave, Zion, IL 60099-2676 | 2018-07-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033674 | Ghazala Raheel | Pharmacist | 4000 Route # 173, Zion, IL 60099 | 2020-11-03 |
| 1295384790 | Loretta Beatrice Colwell | Technician | 3005 Elizabeth Ave, Zion, IL 60099 | 2019-09-06 |
| 1053893164 | Tea Mohn | Psychologist | 3901 W. 21st Street, Zion, IL 60099 | 2018-09-05 |
| 1326540808 | Monica Donald | Specialist/Technologist | 2825 Jethro Ct, Zion, IL 60099 | 2018-03-01 |
| 1265816516 | Igor Wroblewski | Internal Medicine | 2505 26th St, Zion, IL 60099 | 2015-07-16 |
| 1831432996 | Samuel Harrison Cannon Jr. | Nurse Anesthetist, Certified Registered | 3302 Wembley Dr, Zion, IL 60099 | 2013-03-27 |
| 1619213618 | Lizel Ann Granada | Nurse Practitioner | 2723 Sheridan Road, Suite C, Zion, IL 60099 | 2012-12-19 |
| 1194070540 | Shana Marie Pagtalunan Ramirez | Physical Therapist | 2404 Joppa Ave., Zion, IL 60099 | 2012-07-20 |
| 1962674978 | Zion Benton Children's Service | Dentist | 1608 W 23rd St, Zion, IL 60099 | 2008-03-31 |
| 1710176110 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 4580 Rt. 173, Zion, IL 60099 | 2007-10-22 |
| Find all providers in zip 60099 | ||||
| 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 |
|---|---|---|---|---|
| 1427420579 | Kelsey A Plagge | Physician Assistant | Cancer Treatment Centers of America, 2520 Elisha Avenue, Zion, IL 60099 | 2015-10-28 |
| 1114301975 | Daina Mallard | Physician Assistant | 2520 Elisha Ave, Zion, IL 60099-2676 | 2015-07-11 |
| 1346641487 | Pinal Desai | Physician Assistant | 2520 Elisha Ave, Zion, IL 60099-2676 | 2014-09-09 |
| 1497007363 | Courtney Kae Anderson | Physician Assistant | 2520 Elisha Ave, Zion, IL 60099-2676 | 2012-10-02 |
| 1508061409 | Amy D. Rizman | Physician Assistant | Cancer Treatment Centers of America, 2520 Elisha Avenue, Zion, IL 60099 | 2007-06-19 |
| 1558583468 | Samata J Shroff | Physician Assistant | 2520 Elisha Avenue, Zion, IL 60099 | 2007-05-02 |
| 1093873671 | Lily L Zhao | Physician Assistant | 2520 Elisha Ave, Zion, IL 60099-2676 | 2006-12-05 |
| 1386607356 | William Blake Civiletta-kalich | Physician Assistant | 2520 Elisha Avenue, Zion, IL 60099 | 2006-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010924 | Mckenzie Youngblood | Physician Assistant | 28653 Wren Ln, Jerseyville, IL 62052-6501 | 2020-10-13 |
| 1548877400 | Shawn Milhauser | Physician Assistant | 1014 N Mill St, Pontiac, IL 61764-1332 | 2020-09-25 |
| 1982210654 | Brittany Michelle Weber | Physician Assistant | 525 E Congress Pkwy Ste 200, Crystal Lake, IL 60014-6271 | 2020-09-18 |
| 1003421603 | Logan M Barkley | Physician Assistant | 2560 24th St Ste 201, Rock Island, IL 61201-5390 | 2020-09-10 |
| 1336753342 | Navneet Kaur Bamrah | Physician Assistant | 11316 S Highland Dr, Plainfield, IL 60585-1581 | 2020-09-07 |
| 1306450424 | Annie Mannancheril | Physician Assistant | 9114 Waukegan Rd, Morton Grove, IL 60053-2135 | 2020-09-04 |
| 1508470709 | Bryan Ying Wong | Physician Assistant | 3420 S Morgan St Apt 2e, Chicago, IL 60608-6904 | 2020-09-04 |
| 1386256402 | Emma Schmidt | Physician Assistant | 20 Haverton Ct, Streamwood, IL 60107-1682 | 2020-08-19 |
| 1063024388 | Alyson Dyck | Physician Assistant | 2540 Health Services, Ssb Student Services Building, Normal, IL 61790-2540 | 2020-08-18 |
| 1649882192 | Anna Marie Phillips | Physician Assistant | 5337 Main St, Skokie, IL 60077-2029 | 2020-08-17 |
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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.