Individual provider Active NPI

Stephen Grimes, MD

  • Emergency Medicine Physician
  • Williamsburg, VA
National Provider Identifier
1104853084
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0101034377 Issued in VA
Practice address
301 Monticello Ave
Williamsburg, VA 23185-2833
Phone
(757) 259-6000
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0101034377 VA Primary

Addresses

Primary practice location

301 Monticello Ave
Williamsburg, VA 23185-2833

Mailing address

460 McLaws Cir
Ste 220
Williamsburg, VA 23185-5671
Phone (757) 221-7111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20100824000575 VA Practitioner - Emergency Medicine 9931223286 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Williamsburg Emergency Physicians Emergency Medicine CurrentSince Jun 19, 1997 Accepting new patients
Williamsburg Emergency Physicians Emergency Medicine CurrentSince Jun 19, 1997 Accepting new patients
Riverside Physician Services, Inc. Emergency Medicine Past Accepting new patients

Locations

301 Monticello Ave
Williamsburg, VA 23185
Phone (757) 259-6000

100 Sentara Cir
Williamsburg, VA 23188
Phone (678) 690-7826

Organizations & group practices 3

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104853084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 MCLAWS CIR",
            "address_2": "STE 220",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855671",
            "telephone_number": "757-221-7111",
            "fax_number": "757-221-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MONTICELLO AVE",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231852833",
            "telephone_number": "757-259-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101034377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.