Active NPI
Timothy R Grigsby, M.D.
- Family Medicine Physician
- Mason, OH
National Provider Identifier
1700851680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35070992
- Practice address
- 4201 Aero Dr
Mason, OH 45040-8818 - Phone
- (513) 770-4122
- Fax
- (513) 459-9468
- NPI assigned
- Feb 22, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35070992 | OH | Primary |
Addresses
Primary practice location
4201 Aero Dr
Mason, OH 45040-8818
Mailing address
935 State Route 28
Milford, OH 45150-1957
Phone (513) 831-5955
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2159480 | Medicaid | OH |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35070992 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highland Emergency Physicians, Inc. | Past | Accepting new patients | |
| Huber Heights Health Services Inc | Past | Accepting new patients | |
| Pike County Emergency Physicians Inc | Past | Accepting new patients | |
| Doctors Urgent Care Offices Medical Group Inc | Past | Accepting new patients |
Organizations & group practices 4
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.
-
dba Doctors Urgent Care Office
- Urgent Care Clinic/Center
- Mason, OH
- NPI 1811039100
-
dba Highland Emergency Physicians, Inc./Highland District Hospital-ER
- Emergency Medicine Physician
- Hillsboro, OH
- NPI 1376542100
-
dba Huber Heights Urgent Care
- Urgent Care Clinic/Center
- Huber Heights, OH
- NPI 1942271713
-
- Emergency Medicine Physician
- Waverly, OH
- NPI 1871761585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395014400000",
"number": "1700851680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "935 STATE ROUTE 28",
"city": "MILFORD",
"state": "OH",
"postal_code": "451501957",
"telephone_number": "513-831-5955",
"fax_number": "513-831-5985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 AERO DR",
"city": "MASON",
"state": "OH",
"postal_code": "450408818",
"telephone_number": "513-770-4122",
"fax_number": "513-459-9468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIGSBY",
"first_name": "TIMOTHY",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2014-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35070992",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2159480",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mason, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.