NPIMap

Organization Active NPI

Michael G. Grimes MD, Inc

  • General Practice Physician
  • Akron, OH
National Provider Identifier
1053592899
Registry record updated Apr 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
35077014G Issued in OH
Legal business name
MICHAEL G. GRIMES MD, INC
Practice address
791 White Pond Dr
Suite C
Akron, OH 44320-4202
Phone
(330) 869-9598
Fax
(330) 869-9588
NPI assigned
Nov 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2011

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

Authorized official

Name
Ms. Peggy McCardle
Title
Office Manager
Phone
(330) 869-9598

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 35077014G OH Primary

Addresses

Primary practice location

791 White Pond Dr
Suite C
Akron, OH 44320-4202

Mailing address

791 White Pond Dr
Suite C
Akron, OH 44320-4202
Phone (330) 869-9598

National Provider Directory

National Provider Directory

Locations

791 White Pond Dr
Ste C
Akron, OH 44320
Phone (330) 864-1934

NPI Registry JSON

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303084800000",
    "number": "1053592899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 WHITE POND DR",
            "address_2": "SUITE C",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443204202",
            "telephone_number": "330-869-9598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "791 WHITE POND DR",
            "address_2": "SUITE C",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443204202",
            "telephone_number": "330-869-9598",
            "fax_number": "330-869-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL G. GRIMES MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2011-04-18",
        "status": "A",
        "authorized_official_last_name": "MCCARDLE",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "330-869-9598",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "OH",
            "license": "35077014G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2011; 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.