Dr Robert D Grimshaw DO PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101013846 Issued in MI

Legal business name

DR ROBERT D GRIMSHAW DO PLLC

Practice address

201 W Huron Ave
Vassar, MI 48768-1237

Phone

(989) 823-5030

NPI assigned

May 23, 2006

Organization subpart

No

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

Authorized official

Name

Robert D Grimshaw, DO

Title

Owner

Phone

(989) 823-5030

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1124073523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3061 CHRISTY WAY",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032267",
            "telephone_number": "989-791-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W HURON AVE",
            "city": "VASSAR",
            "state": "MI",
            "postal_code": "487681237",
            "telephone_number": "989-823-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ROBERT D GRIMSHAW DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "GRIMSHAW",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-823-5030",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101013846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4532064",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael E. Buck, MA, LMSW, CAC II
• Sarah Paula-Marie Buffman, CTRS, CTRI
• Christopher Robert Charkowske, BA
• Kenneth W Cook, B.S., CAC-1
• Daniel E Blossom, P C
• Alexis Nicole Escott, RN
• Melanie Ferreira
• Toni Folsom
• Ronald Todd Foskett, RPH
• James R Furbush, M.A., LBSW

• All providers in Vassar, MI
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.