Randy Clarence Anthony Grimshaw, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

022495 Issued in NY

Practice address

159 Barnegat Rd Ste 101
Poughkeepsie, NY 12601-5402

Phone

(845) 454-1942

NPI assigned

Aug 15, 2018

Last updated

Aug 15, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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.

• North Shore Hematology Oncology Associates PC

  dba NY Imaging Specialists

  • Hematology & Oncology Physician
  • Poughkeepsie, NY
  • NPI 1275615809
  Medicare reassignment
• North Shore Hematology Oncology Associates PC

  • Specialist
  • Port Jefferson Station, NY
  • NPI 1396794574
  Medicare reassignment
• Hudson Valley Hematology Oncology Associates, RLLP

  • Durable Medical Equipment & Medical Supplies
  • Yortkown Heights, NY
  • NPI 1124382270
  NPD

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1710467246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 MILLER RD APT 101",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125723559",
            "telephone_number": "518-534-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 BARNEGAT RD STE 101",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126015402",
            "telephone_number": "845-454-1942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMSHAW",
        "first_name": "RANDY",
        "middle_name": "CLARENCE ANTHONY",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "022495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol J Griffin, RN
• Cashonna Griffin, LPN
• Rosemary Griffin, M.S., C.C.C.
• Vicki Judith Grillot, OT/L
• Clarrisa Grimmett, LPN
• Vanessa Grimsland, RN
• Elena Grishkevich, MD
• Frankie Grixti
• Patricia Shannon Grogan, LPN
• Gross and Flores DDS PC

• Physician Assistant in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.