Individual provider Active NPI

Yannick Grenier, MD

  • Neurological Surgery Physician
  • Cincinnati, OH
National Provider Identifier
1083654875
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
35.077606 Issued in OH
Practice address
4805 Montgomery Rd Ste 210
Cincinnati, OH 45212-2280
Phone
(513) 791-8080
Fax
(513) 791-8085
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 126442 FL
Neurological Surgery Physician 207T00000X 35.077606 OH Primary

Addresses

Primary practice location

4805 Montgomery Rd Ste 210
Cincinnati, OH 45212-2280

Mailing address

4805 Montgomery Rd Ste 150
Cincinnati, OH 45212-2280
Phone (513) 791-8080

Other practice location 1

311 N Clyde Morris Blvd
suite 550
Daytona Beach, FL 32114-2781
Phone (386) 425-8582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110509000343 NY Practitioner - Neurosurgery 6800838491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empire Wound Physician Services PLLCGroup PAC ID 6406170497, 7 clinicians

Practice addresses (Care Compare)

185 Old Military Rd
Lake Placid, NY 12946-1939
Phone (518) 523-2464

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue59
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
126442FLMDNeurological Surgery Physician
35.077606OHMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Empire Wound Physician Services, PLLC CurrentSince Apr 14, 2025 Accepting new patients
Riverhills Healthcare, Inc. Neurological Surgery PastSince Mar 1, 2018 Accepting new patients

Locations

28 Kellogg Rd
Cortland, NY 13045
Phone (607) 753-6060

185 Old Military Rd
Lake Placid, NY 12946
Phone (518) 523-2464

170 Lake St
Liberty, NY 12754
Phone (845) 292-4200

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516665600000",
    "number": "1083654875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4805 MONTGOMERY RD STE 150",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122280",
            "telephone_number": "513-791-8080",
            "fax_number": "513-791-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 MONTGOMERY RD STE 210",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122280",
            "telephone_number": "513-791-8080",
            "fax_number": "513-791-8085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 N Clyde Morris Blvd",
            "address_2": "suite 550",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "321142781",
            "country_code": "US",
            "telephone_number": "386-425-8582",
            "fax_number": "315-238-2224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRENIER",
        "first_name": "YANNICK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2018-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "126442",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OH",
            "license": "35.077606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.