Active NPI
Eric Grimm, D.O.
- Diagnostic Radiology Physician
- Wellington, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- OS 7193
- Practice address
- 12798 W Forest Hill Blvd
Suite 301a
Wellington, FL 33414-4750 - Phone
- (561) 795-9150
- Fax
- (561) 798-7700
- NPI assigned
- May 22, 2006
- Last updated
- Aug 10, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | OS 7193 | FL | Primary |
Addresses
Primary practice location
12798 W Forest Hill Blvd
Suite 301a
Wellington, FL 33414-4750
Mailing address
12798 W Forest Hill Blvd
Suite 301a
Wellington, FL 33414-4750
Phone (561) 795-9150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2719860-00 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Nova Southeastern College of Osteo Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1309 N Flagler Dr
West Palm BCH, FL 33401-3406
Phone (904) 399-5550
13695 US Hwy 1
Sebastian, FL 32958-3230
Phone (904) 399-5550
2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550
5352 Linton Blvd
Delray Beach, FL 33484-6514
Phone (904) 399-5550
6000 49TH St N
Saint Petersburg, FL 33709-2114
Phone (727) 521-5078
6545 Landings CT
Boca Raton, FL 33496-4078
Phone (904) 399-5550
Hospital & facility affiliations
- Delray Medical Center
- Palm Beach Gardens Medical Center
- Good Samaritan Medical Center
- West Boca Medical Center
- HCA Florida Gulf Coast Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS 7193 | FL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mori Bean and Brooks Inc | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Physician Solutions of West Florida, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Florida United Radiology LC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Physician Solutions of West Florida, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Sheridan Radiology Services of Central Florida Inc | Diagnostic Radiology | Current | Accepting new patients |
| Sheridan Radiology Services of Pinellas, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Sheridan Radiology Services of Central Florida, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Palm Beach Efl Imaging Center LLC | Diagnostic Radiology | Past | Accepting new patients |
| Palms West Imaging Inc | Diagnostic Radiology | Past | Accepting new patients |
| Palms West MRI, LLC | Past | Accepting new patients | |
| Team Radiology Physicians, PA | Diagnostic Radiology | Past | Accepting new patients |
Locations
21644 State Road 7
Boca Raton, FL 33428
Phone (561) 488-8210
119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150
5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166
502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481
700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553
5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313
Phone (866) 747-5834
901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300
2801 N State Road 7
Margate, FL 33063
Phone (954) 683-7041
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434
8201 W Broward Blvd
Plantation, FL 33324
Phone (954) 476-3900
14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929
1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969
1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316
13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185
3600 S Highlands Ave
Sebring, FL 33870
Phone (863) 385-6101
1501 Pasadena Ave S
South Pasadena, FL 33707
Phone (727) 341-7777
6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411
14499 N Dale Mabry Hwy
Ste 150
Tampa, FL 33618
Phone (813) 968-6998
2115 Little Rd
Trinity, FL 34655
Phone 7278418225410
9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000
2529 Burns Rd
West Palm Beach, FL 33410
Phone (561) 625-4441
Organizations & group practices 12
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.
-
dba Coastal Vein Vascular Institute
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1093782070
-
- Diagnostic Radiology Physician
- St Petersburg, FL
- NPI 1104205046
-
- Health Service Clinic/Center
- Silver Spring, MD
- NPI 1487692828
DC
-
- Diagnostic Radiology Physician
- Aventura, FL
- NPI 1407809395
-
- Diagnostic Radiology Physician
- Plantation, FL
- NPI 1427437367
-
- Diagnostic Radiology Physician
- Sanford, FL
- NPI 1487708814
-
dba DBA Pinellas Radiology Associates
- Diagnostic Radiology Physician
- West Palm Beach, FL
- NPI 1609211432
-
dba Palm Beach Open Imaging Center
- Diagnostic Radiology Physician
- West Palm Beach, FL
- NPI 1578526414
-
dba Palms West Open MRI - RPB
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Royal Palm Beach, FL
- NPI 1700877602
Diagnostic Radiology
-
- Radiology Clinic/Center
- Belle Glade, FL
- NPI 1871584771
-
- Diagnostic Radiology Physician
- Fort Lauderdale, FL
- NPI 1275997934
-
- Diagnostic Radiology Physician
- Knoxville, TN
- NPI 1932133675
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Gulf Coast Hospital
- General Acute Care Hospital
- Panama City, FL
- NPI 1699721589
-
dba Delray Medical Center
- General Acute Care Hospital
- Delray Beach, FL
- NPI 1326078288
-
dba Good Samaritan Medical Center
- General Acute Care Hospital
- West Palm Beach, FL
- NPI 1770515991
-
dba Palm Beach Gardens Medical Center
- General Acute Care Hospital
- Palm Beach Gardens, FL
- NPI 1144251216
-
dba West Boca Medical Center
- General Acute Care Hospital
- Boca Raton, FL
- NPI 1588697296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186704000000",
"number": "1578517447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12798 W FOREST HILL BLVD",
"address_2": "SUITE 301A",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334144750",
"telephone_number": "561-795-9150",
"fax_number": "561-798-7700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12798 W FOREST HILL BLVD",
"address_2": "SUITE 301A",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334144750",
"telephone_number": "561-795-9150",
"fax_number": "561-798-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIMM",
"first_name": "ERIC",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-22",
"last_updated": "2007-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "OS 7193",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2719860-00",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wellington, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.