Individual provider Active NPI

David L Grimes, MD

  • Obstetrics & Gynecology Physician
  • Little Rock, AR
National Provider Identifier
1548229909
Registry record updated Dec 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
E-6703 Issued in AR
Practice address
4815 W Markham St
Slot 16
Little Rock, AR 72205-3866
Phone
(501) 661-2086
Fax
(501) 661-2464
NPI assigned
Mar 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X E-6703 AR Primary
Public Health & General Preventive Medicine Physician 2083P0901X E-6703 AR

Addresses

Primary practice location

4815 W Markham St
Slot 16
Little Rock, AR 72205-3866

Mailing address

4815 W Markham St
Slot 16
Little Rock, AR 72205-3866
Phone (501) 661-2086

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Kelly Raff Anunciato D.O. PSC Obstetrics & Gynecology Past Accepting new patients
Arkansas Department of Health Obstetrics & Gynecology Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387497600000",
    "number": "1548229909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 W MARKHAM ST",
            "address_2": "SLOT 16",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722053866",
            "telephone_number": "501-661-2086",
            "fax_number": "501-661-2464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 W MARKHAM ST",
            "address_2": "SLOT 16",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722053866",
            "telephone_number": "501-661-2086",
            "fax_number": "501-661-2464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "DAVID",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2013-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AR",
            "license": "E-6703",
            "primary": true
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "AR",
            "license": "E-6703",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.