NPIMap

Individual provider Active NPI

Karen Renee Grassie, M.D.

  • Surgery Physician
  • Concord TWP, OH
National Provider Identifier
1417056516
Registry record updated Aug 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35-075055-G Issued in OH
Practice address
7580 Auburn Rd
Suite 314
Concord TWP, OH 44077-9615
Phone
(440) 352-0646
Fax
(440) 352-0648
NPI assigned
Sep 22, 2006
Last updated
Aug 2, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35-075055-G OH Primary

Addresses

Primary practice location

7580 Auburn Rd
Suite 314
Concord TWP, OH 44077-9615

Mailing address

7580 Auburn Rd Ste 314
Suite # 4
Concord TWP, OH 44077-9618
Phone (440) 352-0646

Other identifiers 1

IdentifierTypeStateIssuer
2327771MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041027000000 OH Practitioner - General Surgery 7315908928 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Medical College of Ohio, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7580 Auburn Rd
Suite 314
Concord Township, OH 44077-9618
Phone (440) 352-0646

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy17
Hernia repair - groin (open)13
Hernia repair (minimally invasive)1-10
Mastectomy15
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-075055-GOHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
Lake Hospital System, Inc. CurrentSince Mar 1, 2022 Accepting new patients
Lake Hospital System, Inc CurrentSince Mar 1, 2022 Accepting new patients
University Primary Care Practices Inc CurrentSince Mar 19, 2025 Accepting new patients
Lake Hospital System Inc Surgery Current Accepting new patients
University Primary Care Practices Inc CurrentSince Mar 19, 2025 Accepting new patients
University Primary Care Practices Past Accepting new patients

Locations

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

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

6270 N Ridge Rd
Madison, OH 44057
Phone (440) 428-8292

10780 Kinsman Rd
Newbury, OH 44065
Phone (440) 564-5656

Interoperability endpoints

  • Direct secure messaging: kgrassie37243@ehrdirect.uhhospitals.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343865600000",
    "number": "1417056516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7580 AUBURN RD STE 314",
            "address_2": "SUITE # 4",
            "city": "CONCORD TWP",
            "state": "OH",
            "postal_code": "440779618",
            "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": "7580 AUBURN RD",
            "address_2": "SUITE 314",
            "city": "CONCORD TWP",
            "state": "OH",
            "postal_code": "440779615",
            "telephone_number": "440-352-0646",
            "fax_number": "440-352-0648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRASSIE",
        "first_name": "KAREN",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2012-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35-075055-G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2327771",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord TWP, OH

Sources for this page

Verify at the official NPI Registry.