Mark L Grimes (NPI# 1710903646, PAC ID# 9335053925) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1710903646 |
| PAC ID by PECOS | 9335053925 |
| Professional Enrollment ID | I20040730000107 |
| Full Name | Mark L Grimes |
| Organization Legal Name | MVES BOARDMAN LLC |
| Address |
8401 Market St Boardman OH 44512-6725 |
| Phone Number | 3307292929 |
| Gender | M |
| Credential | MD |
| Medical School | WRIGHT STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 4688694722 |
| Number of Group Practice Members | 30 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360276 | HMHP ST ELIZABETH BOARDMAN HEALTH CENTER |
| 360089 | MERCY TIFFIN HOSPITAL |
| 360064 | ST ELIZABETH YOUNGSTOWN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 8401 Market St, Boardman, OH 44512-6725 | 3307292929 | MVES BOARDMAN LLC |
| 1044 Belmont Ave, Youngstown, OH 44504-1006 | 3307467211 | MAHONING VALLEY EMERGENCY SPECIALISTS, INC |
| Organization Legal Name | MVES BOARDMAN LLC |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas D Gifford | Emergency Medicine | Mves Boardman LLC | 8401 Market St, Boardman, OH 44512-6725 |
| Jeanine Awad-spirtos | Emergency Medicine | Mves Boardman LLC | 8401 Market St, Boardman, OH 44512-6725 |
| David Michael Baulesh | Emergency Medicine | Mves Boardman LLC | 8401 Market St, Boardman, OH 44512-6725 |
| Maggie K Conway | Nurse Practitioner | Mves Boardman LLC | 8401 Market St, Boardman, OH 44512-6725 |
| Charles Farrell | Emergency Medicine | Mves Boardman LLC | 8401 Market St, Boardman, OH 44512-6725 |
| Halsey Anne Heinselman | Emergency Medicine | Mves Boardman LLC | 8401 Market St, Boardman, OH 44512-6725 |
| Jamie Andrew Foley | Emergency Medicine | Mves Boardman LLC | 8401 Market St, Boardman, OH 44512-6725 |
| Heather Anne Bayless | Nurse Practitioner | Mves Boardman LLC | 8401 Market St, Boardman, OH 44512-6725 |
| Kimberly M Elser | Nurse Practitioner | Mves Boardman LLC | 8401 Market St, Boardman, OH 44512-6725 |
| Patrick Joseph Bovino | Emergency Medicine | Mves Boardman LLC | 8401 Market St, Boardman, OH 44512-6725 |
| Street Address |
8401 MARKET ST |
| City | BOARDMAN |
| State | OH |
| Zip | 44512-6725 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas D Gifford | Emergency Medicine | Mves Boardman LLC | 8401 Market St, Boardman, OH 44512-6725 |
| Keith L Henson | Internal Medicine | 8401 Market St, Boardman, OH 44512-6725 | |
| Jeanine Awad-spirtos | Emergency Medicine | Mves Boardman LLC | 8401 Market St, Boardman, OH 44512-6725 |
| Janet Marie Pateras | Nurse Practitioner | Mercy Health Physicians Youngstown, LLC | 8401 Market St, Boardman, OH 44512-6725 |
| David Michael Baulesh | Emergency Medicine | Mves Boardman LLC | 8401 Market St, Boardman, OH 44512-6725 |
| Maggie K Conway | Nurse Practitioner | Mves Boardman LLC | 8401 Market St, Boardman, OH 44512-6725 |
| Erica C Smith | Nurse Practitioner | Mercy Health Physicians Youngstown, LLC | 8401 Market St, Boardman, OH 44512-6725 |
| Charles Farrell | Emergency Medicine | Mves Boardman LLC | 8401 Market St, Boardman, OH 44512-6725 |
| Nicole Kristin Olshanski | Certified Nurse Midwife (cnm) | Mercy Health Physicians Youngstown, LLC | 8401 Market St, Youngstown, OH 44512-6725 |
| Susan C Thomas | Certified Registered Nurse Anesthetist (crna) | Bel-park Anesthesia Associates, Inc. | 8401 Market St, Boardman, OH 44512-6725 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah Louise Sano | Psychologist, Clinical | 7010 S Ave, Suite 5, Boardman, OH 44512 | |
| Charles E Wilkins | Geriatric Medicine | 4214 Market St, Youngstown, OH 44512-1118 | |
| Louis Michael Chiaro | Podiatry | 156 Overhill Rd, Boardman, OH 44512-1455 | |
| Tony T Deramo | Allergy/immunology | 5701 Market St, Youngstown, OH 44512-2603 | |
| Carl Franklin Ansevin | Neurology | 5701 Market St, Suite 101, Boardman, OH 44512-2603 | |
| Mary Newell Waller | Psychologist, Clinical | 5500 Market St, Suite 90, Youngstown, OH 44512-2616 | |
| Katharine Williams | Psychologist, Clinical | 5500 Market St, Suite 205, Boardman, OH 44512-2624 | |
| Patrick R Ranalli | Physical Therapy | 5500 Market St, Suite 127, Youngstown, OH 44512-2625 | |
| Christine L Fullerman | Audiologist | Youngstown Hearing and Speech Center | 6614 Southern Blvd, Youngstown, OH 44512-3455 |
| Andrew J Meyer | Anesthesiology | Children's Hospital Medical Center of Akron | 6505 Market St, Boardman, OH 44512-3457 |
| Find all physicians in zip 44512 | |||
| City | BOARDMAN |
| Zip Code | 44512 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | BOARDMAN + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Mark L Grimes.
| 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.