Tori Brooke Grenade (NPI# 1407233372, PAC ID# 1153636444) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1407233372 |
PAC ID by PECOS | 1153636444 |
Professional Enrollment ID | I20191016003833 |
Full Name | Tori Brooke Grenade |
Organization Legal Name | HOUSTON HOSPITALS INC |
Address |
1118 Hwy 96 W Kathleen GA 31047 |
Phone Number | 4789224281 |
Gender | F |
Medical School | MERCER UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 2015 |
Primary Specialty | INTERNAL MEDICINE |
Secondary Specialties | PEDIATRIC MEDICINE |
Group Practice PAC ID | 4284797580 |
Number of Group Practice Members | 36 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
110069 | HOUSTON MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
1118 Hwy 96 W, Kathleen, GA 31047 | 4789224281 | HOUSTON HOSPITALS INC |
Organization Legal Name | HOUSTON HOSPITALS INC |
Physicians | 25 |
Name | Specialty | Organization | Address |
---|---|---|---|
Brian Cunningham | Family Medicine | Houston Hospitals Inc | 2510 Hwy 127, Kathleen, GA 31047 |
Nalini K Ramaiya | Emergency Medicine | Houston Hospitals Inc | 1118 Hwy 96 W, Kathleen, GA 31047 |
Jose Espinosa | Family Medicine | Houston Hospitals Inc | 233 N Houston Rd, Warner Robins, GA 31093-3023 |
Karunaker R Sripathi | Internal Medicine | Houston Hospitals Inc | 1120 Morningside Dr, Perry, GA 31069-2906 |
David Ellis | Family Medicine | Houston Hospitals Inc | 233 N Houston Rd, Warner Robins, GA 31093-3023 |
Jennifer Sims | Family Medicine | Houston Hospitals Inc | 1118 Hwy 96 W, Kathleen, GA 31047 |
Anilkumar Pillai | Internal Medicine | Houston Hospitals Inc | 233 N Houston Rd, Warner Robins, GA 31093-3023 |
Ravindraprasad J Shekarappa | Internal Medicine | Houston Hospitals Inc | 233 N Houston Rd, Warner Robins, GA 31093-3023 |
Nisreen A Jallad | Cardiovascular Disease (cardiology) | Houston Hospitals Inc | 233 N Houston Rd, Warner Robins, GA 31093-3023 |
Dinakara B Shetty | Internal Medicine | Houston Hospitals Inc | 233 N Houston Rd, Warner Robins, GA 31093-3023 |
Street Address |
1118 HWY 96 W |
City | KATHLEEN |
State | GA |
Zip | 31047 |
Name | Specialty | Organization | Address |
---|---|---|---|
Nalini K Ramaiya | Emergency Medicine | Houston Hospitals Inc | 1118 Hwy 96 W, Kathleen, GA 31047 |
Jennifer Sims | Family Medicine | Houston Hospitals Inc | 1118 Hwy 96 W, Kathleen, GA 31047 |
Kimberly Ham | Family Medicine | Houston Hospitals Inc | 1118 Hwy 96 W, Kathleen, GA 31047 |
Twanna Dumas | Nurse Practitioner | Houston Hospitals Inc | 1118 Hwy 96 W, Kathleen, GA 31047 |
Name | Specialty | Organization | Address |
---|---|---|---|
Brian Cunningham | Family Medicine | Houston Hospitals Inc | 2510 Hwy 127, Kathleen, GA 31047 |
Kimberly Crook | Nurse Practitioner | Taylor Regional Hospital | 1012 Hwy 247 S, Suite 101, Kathleen, GA 31047-2349 |
City | KATHLEEN |
Zip Code | 31047 |
Specialty | INTERNAL MEDICINE |
City + Specialty | KATHLEEN + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Tori Brooke Grenade.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.