Active NPI
Herman Grishaver, M.D.
- Neurology Physician
- Warren, PA
National Provider Identifier
1295993640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MD049718L
- Practice address
- 12 Crescent Park
Warren, PA 16365-2217 - Phone
- (814) 723-1961
- Fax
- (814) 723-6543
- NPI assigned
- May 31, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MD049718L | PA | Primary |
Addresses
Primary practice location
12 Crescent Park
Warren, PA 16365-2217
Mailing address
12 Crescent Park
Warren, PA 16365-2217
Phone (814) 723-1961
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD049718L | PA | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212192000000",
"number": "1295993640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 CRESCENT PARK",
"city": "WARREN",
"state": "PA",
"postal_code": "163652217",
"telephone_number": "814-723-1961",
"fax_number": "814-723-6543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 CRESCENT PARK",
"city": "WARREN",
"state": "PA",
"postal_code": "163652217",
"telephone_number": "814-723-1961",
"fax_number": "814-723-6543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRISHAVER",
"first_name": "HERMAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-31",
"last_updated": "2008-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PA",
"license": "MD049718L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warren, PA
- Elizabeth F Grabel, DPT, MED, GCS
- Maurina K Grandinetti, LAPC
- Aubrey Lynn Grant, LMSW
- Celia Grant, PHARMD
- Jennifer M Grey, PA-C
- Daniel William Grolemund, O.T.R./L.
- Group Medical Services
- Guardian Elder Care at Warren LLC (Kinzua Healthcare and Rehabilitation Center)
- Tiffany L Habicht, COTA
- Jenafer Elaine Hammond, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.