Michael E Grillis DO Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

34004664 Issued in OH

Legal business name

MICHAEL E GRILLIS DO INC

Practice address

2281 Hayes Ave
Fremont, OH 43420-2632

Phone

(419) 355-8488

Fax

(419) 355-8490

NPI assigned

Jul 27, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael E Grillis, DO

Title

Owner

Phone

(419) 355-8488

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280188800000",
    "number": "1033423462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2281 HAYES AVE",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434202632",
            "telephone_number": "419-355-8488",
            "fax_number": "419-355-8490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2281 HAYES AVE",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434202632",
            "telephone_number": "419-355-8488",
            "fax_number": "419-355-8490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL E GRILLIS DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-27",
        "last_updated": "2010-07-27",
        "status": "A",
        "authorized_official_last_name": "GRILLIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-355-8488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "OH",
            "license": "34004664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0739964",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Memorial Hospital
• Memorial Hosptial
• Memorial Professional Services LTD
• Leslie D Meyer, MA, LPCC, LICDC
• Jina Marie Meza
• Tricia L Michael, PT
• Morris Joe Michles, RRT, RN
• Gretchen Mies, OTR/L
• Vincent J Militello, R.PH
• Alison Christine Miller, CRNA

• Surgery Physician in Fremont, OH
• Providers in Fremont, OH by specialty
• Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.