Organization Active NPI

Karen R Grassie MD Inc

  • Surgery Physician
  • Painesville, OH
National Provider Identifier
1295917409
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
KAREN R GRASSIE MD INC
Practice address
50 Normandy Dr
Suite 4
Painesville, OH 44077-1600
Phone
(440) 352-0646
Fax
(440) 352-0648
NPI assigned
Nov 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Authorized official

Name
Dr. Karen R Grassie, M.D.
Title
President
Phone
(440) 352-0646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X OH Primary

Addresses

Primary practice location

50 Normandy Dr
Suite 4
Painesville, OH 44077-1600

Mailing address

50 Normandy Dr
Suite 4
Painesville, OH 44077-1600
Phone (440) 352-0646

Other identifiers 1

IdentifierTypeStateIssuer
2327771MedicaidOH

National Provider Directory

National Provider Directory

Locations

7580 Auburn Rd
Ste 314
Concord Township, OH 44077
Phone (440) 352-0646

50 Normandy Dr
Ste 4
Painesville, OH 44077
Phone (440) 352-0646

NPI Registry JSON

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1295917409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 NORMANDY DR",
            "address_2": "SUITE 4",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440771600",
            "telephone_number": "440-352-0646",
            "fax_number": "440-352-0648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 NORMANDY DR",
            "address_2": "SUITE 4",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440771600",
            "telephone_number": "440-352-0646",
            "fax_number": "440-352-0648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN R GRASSIE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "GRASSIE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-352-0646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2327771",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Painesville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.