Lenore Marie Tietjens-Grillo, M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

D0046167 Issued in MD

Practice address

9001 Edmonston Rd Ste 40
Greenbelt, MD 20770-1004

Phone

(240) 790-3325

Fax

(301) 345-1865

NPI assigned

Dec 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1376609248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MISTY LN",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219212314",
            "telephone_number": "443-553-0631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 EDMONSTON RD STE 40",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207701004",
            "telephone_number": "240-790-3325",
            "fax_number": "301-345-1865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIETJENS-GRILLO",
        "first_name": "LENORE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "DE",
            "license": "C1-0004254",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MD",
            "license": "D0046167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162081900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Lee Thompson, O.D.
• Kiaundra Thompson, CRNP
• Lauren Christine Thompson, PHARM.D.
• Dianna Frances Thorstensen, DDS
• Thrive Therapy Maryland
• Philomene Lum Tijie
• John Tiku
• Megan C Tiralla, OT
• Tony J Titah
• Edita Veronica Tituana

• Gynecology Physician in Greenbelt, MD
• Providers in Greenbelt, MD by specialty
• Gynecology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; 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.