GRINNELL REGIONAL MEDICAL CENTER (NPI# 1790115582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790115582 |
| Entity Type | Organization |
| Organization Name | GRINNELL REGIONAL MEDICAL CENTER |
| Other Organization Name | GRINNELL REGIONAL INTERNAL MEDICINE |
| Practice Address |
210 4th Ave Grinnell IA 50112-1898 |
| Practice Telephone | 6412362382 |
| Practice Fax Number | 6412362439 |
| Mailing Telephone | 6412362382 |
| Mailing Fax Number | 6412362439 |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2015-01-18 |
| Authorized Official Name | TODD C LINDEN (PRESIDENT & CEO) |
| Authorized Official Telephone | 6412367511 |
| Is Organization Subpart | Y |
| Parent Organization Name | GRINNELL REGIONAL MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Grinnell Regional Internal Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043511850 | Grinnell Regional Medical Center | Clinic/Center | 306 4th Ave, Grinnell, IA 50112-1803 | 2010-11-10 |
| 1548336084 | Grinnell Regional Medical Center | Family Medicine | 303 East Street, Lynnville, IA 50153 | 2006-11-27 |
| 1457427999 | Grinnell Regional Medical Center | Family Medicine | 302 South Park St, New Sharon, IA 50207 | 2006-11-27 |
| 1780681379 | Grinnell Regional Medical Center | Home Health | 306 4th Ave Ste A, Grinnell, IA 50112-1803 | 2005-06-28 |
| 1396355343 | Grinnell Regional Medical Center | Clinic/Center | 202 4th Ave, Ste 100, 200 & 300, Grinnell, IA 50112-1898 | 2020-08-05 |
| 1437663242 | Grinnell Regional Medical Center | Internal Medicine | 210 4th Ave, Grinnell, IA 50112-1898 | 2017-12-01 |
| 1023498573 | Grinnell Regional Medical Center | Physician Assistant | 401 1st Ave, Toledo, IA 52342-2129 | 2015-05-30 |
| 1639567910 | Grinnell Regional Medical Center | Obstetrics & Gynecology | 210 4th Ave, Grinnell, IA 50112-1898 | 2015-01-08 |
| 1407252372 | Grinnell Regional Medical Center | Nurse Practitioner | 210 4th Ave, Grinnell, IA 50112-1898 | 2014-11-05 |
| 1215339569 | Grinnell Regional Medical Center | Internal Medicine | 210 4th Ave, 2nd Floor Mab, Grinnell, IA 50112-1898 | 2014-09-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GRINNELL REGIONAL MEDICAL CENTER | 210 4th Ave, Grinnell, IA 50112-1898 |
| Iowa Business Entities | GRINNELL REGIONAL MEDICAL CENTER | 210 Fourth Avenue, Grinnell, IA 50112 |
| Iowa Business Entities | GRINNELL REGIONAL MEDICAL CENTER FOUNDATION | Grinnell Regional Medical Center, 210 4th Ave, Grinnell, IA 50112 |
| Street Address |
210 4TH AVE |
| City | GRINNELL |
| State | IA |
| Zip Code | 50112-1898 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417941717 | Patrick J Cogley | Family Medicine | 210 4th Ave, Grinnell, IA 50112-0780 | 2005-09-01 |
| 1609494673 | Des Moines Orthopaedic Surgeons PC | Durable Medical Equipment & Medical Supplies | 210 4th Ave, Grinnell, IA 50112-1898 | 2020-07-07 |
| 1720574692 | Elizabeth A Clancy | Occupational Therapy Assistant | 210 4th Ave, Grinnell, IA 50112-1898 | 2018-07-03 |
| 1427558857 | Lynn Marie Moorman | Nurse Practitioner | 210 4th Ave, Grinnell, IA 50112-1898 | 2018-02-12 |
| 1437663242 | Grinnell Regional Medical Center | Internal Medicine | 210 4th Ave, Grinnell, IA 50112-1898 | 2017-12-01 |
| 1508215013 | Katelyn Sue Beyer | Physician Assistant | 210 4th Ave, Grinnell, IA 50112-1898 | 2016-06-06 |
| 1639567910 | Grinnell Regional Medical Center | Obstetrics & Gynecology | 210 4th Ave, Grinnell, IA 50112-1898 | 2015-01-08 |
| 1407252372 | Grinnell Regional Medical Center | Nurse Practitioner | 210 4th Ave, Grinnell, IA 50112-1898 | 2014-11-05 |
| 1215339569 | Grinnell Regional Medical Center | Internal Medicine | 210 4th Ave, 2nd Floor Mab, Grinnell, IA 50112-1898 | 2014-09-18 |
| 1306279435 | Linda L Romero | Social Worker | 210 4th Ave, Grinnell, IA 50112-1898 | 2013-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912451642 | Renfrow Senior Care | Internal Medicine | 120 W. St., Grinnell, IA 50112 | 2016-08-11 |
| 1114324605 | Grinnell Health Care Center, LLC | Skilled Nursing Facility | 415 S 6th Street, Grinnell, IA 50112 | 2014-11-26 |
| 1972907061 | Katie M Little | Counselor | 821 5th Ave Ste 401, Grinnell, IA 50112 | 2014-10-17 |
| 1366606287 | Kara Collings | Optometrist | 619 6th Ave, Grinnell, IA 50112 | 2008-07-10 |
| 1053510123 | Jennifer Davis | Speech-Language Pathologist | 79 Sixth Ave, Grinnell, IA 50112 | 2007-07-17 |
| 1306059506 | Grinnell Regional Medical Center, Inc | Anesthesiology | 210 Fourth Avenue, Grinnell, IA 50112 | 2007-05-07 |
| 1609906510 | Poweshiek County Case Management | Case Management | 120 W. Street, Grinnell, IA 50112 | 2007-03-07 |
| 1982756284 | The Grinnell Institute for Bone Health | Orthopaedic Surgery | 810 Commercial St., Grinnell, IA 50112 | 2007-01-17 |
| 1689771412 | Brandon L Davis | Psychologist | 200 4th Ave West, Grinnell, IA 50112 | 2006-09-20 |
| 1740240456 | Beth Mi Gallegos | Social Worker | 807 4th, Grinnell, IA 50112 | 2006-03-25 |
| Find all providers in zip 50112 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780820860 | Lauren Elizabeth Graham | Internal Medicine | 210 4th Ave, Grinnell Regional Medical Center, Grinnell, IA 50112-1898 | 2008-12-19 |
| 1265617047 | Eman Boulis | Internal Medicine | 210 4th Ave, Grinnell, IA 50112-1898 | 2007-12-31 |
| 1851592018 | Ronald Benjamin Collins Jr. | Internal Medicine | 210 4th Ave, Grinnell, IA 50112-1898 | 2007-05-29 |
| 1437234895 | Franklin G Nwachukwu | Internal Medicine | 210 4th Ave, Grinnell, IA 50112-1898 | 2006-10-26 |
| 1104807692 | Daniel Kent Anderson | Internal Medicine | 210 4th Ave, Mab 3rd Floor, Grinnell, IA 50112-1898 | 2005-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281915 | Impact Physician Group Iowa LLC | Internal Medicine | 2801 Heartland Dr, Coralville, IA 52241 | 2020-10-01 |
| 1194349076 | Tyler Vance | Internal Medicine | 9005 Bridgewood Blvd Unit 6210, West Des Moines, IA 50266-8198 | 2020-06-05 |
| 1154943900 | Taylor Christine Becker | Internal Medicine | 200 Hawkins Dr., E326-2 Gh, Iowa City, IA 52242-1009 | 2020-05-15 |
| 1659901031 | Gitangali Singh Md Pllc | Internal Medicine | 47 Crabapple Ct, Iowa City, IA 52246-9408 | 2020-01-24 |
| 1245882497 | The Iowa Clinic Executive Health | Internal Medicine | 5950 University Ave Fl 3, West Des Moines, IA 50266-8216 | 2019-07-09 |
| 1588226104 | Laura Sue Kersey | Internal Medicine | 1212 Pleasant St Ste 110, Des Moines, IA 50309-1410 | 2019-07-03 |
| 1780241679 | Kendra Walker Tan | Internal Medicine | 200 Hawkins Dr Dept Internal, Iowa City, IA 52242-1009 | 2019-05-25 |
| 1649837840 | Tyler Craig Bullis | Internal Medicine | 200 Hawkins Dr Dept Int, Iowa City, IA 52242-1009 | 2019-05-22 |
| 1538722152 | Adam Ethan Prescott | Internal Medicine | University of Iowa Hospitals & Clinics (uihc), 200 Hawkins Drive, Department of Internal Medicine, Iowa City, IA 52242-1009 | 2019-04-18 |
| 1548749674 | Kerry Humes | Internal Medicine | 1320 W Lombard St, Davenport, IA 52804-2029 | 2018-08-09 |
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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.