Rebecca Grimaud-Chilson, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD419150 Issued in PA

Practice address

1 Kim Ave Ste 4
Tunkhannock, PA 18657-9101

Phone

(570) 836-4400

Fax

(570) 836-4440

NPI assigned

Aug 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Chilson Clinic PC

  • Internal Medicine Physician
  • Tunkhannock, PA
  • NPI 1700852613
  NPD (past)

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344988800000",
    "number": "1285740225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 KIM AVE STE 4",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186579101",
            "telephone_number": "570-836-4400",
            "fax_number": "570-836-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KIM AVE STE 4",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186579101",
            "telephone_number": "570-836-4400",
            "fax_number": "570-836-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMAUD-CHILSON",
        "first_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2012-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD419150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378679000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kurt E Goglin, LPC
• Kara B Golden, MSW, LCSW
• Good Grief Counseling LLC
• Brenda T Goodrich, DO
• Geordee P Grable
• Guthrie Clinc, LTD.
• Guthrie Health
• Guthrie Medical Group, P.C,
• Davis Charles Haire Sr., O.D.
• Sherry A Harvey, CRNA

• Pediatrics Physician in Tunkhannock, PA
• Providers in Tunkhannock, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.