Individual provider Active NPI

Mark Grimes, M.D.

  • Emergency Medicine Physician
  • Ashland, OH
National Provider Identifier
1710903646
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35-080305 Issued in OH
Practice address
1025 Center St
Ashland, OH 44805-4011
Phone
(419) 289-0491
NPI assigned
Jul 14, 2006
Last updated
Feb 20, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35-080305 OH Primary

Addresses

Primary practice location

1025 Center St
Ashland, OH 44805-4011

Mailing address

75 Remit Dr 1056
Chicago, IL 60675-1056
Phone (866) 916-5259

Other identifiers 1

IdentifierTypeStateIssuer
2313651MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040730000107 OH Practitioner - Emergency Medicine 9335053925 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Wright State University Boonshoft School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Ohio Emergency Group, LLCGroup PAC ID 7810233517, 42 clinicians

Practice addresses (Care Compare)

199 W Main St
Shelby, OH 44875-1490
Phone (419) 342-5015

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100Reported as group
Quality
84.85
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-080305OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mahoning Valley Emergency Specialists LLC Emergency Medicine CurrentSince Dec 1, 2017 Accepting new patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Apr 1, 2018 Accepting new patients
Ohio Emergency Care Services, Inc Emergency Medicine CurrentSince Apr 1, 2018 Accepting new patients
Magis Emergency Medicine LLC Emergency Medicine CurrentSince Mar 15, 2016 Accepting new patients
Mid-Ohio Emergency Group, LLC Emergency Medicine CurrentSince Mar 5, 2022 Accepting new patients
Mves Austintown LLC Emergency Medicine CurrentSince Dec 1, 2017 Accepting new patients
Nes Ohio Inc Emergency Medicine Past Accepting new patients
Mercy Health Youngstown LLC Past Accepting new patients
Nes Ohio, Inc. Emergency Medicine Past Accepting new patients
4M Emergency Systems Tod LLC Emergency Medicine PastSince Jan 1, 2006 Accepting new patients
Samaritan Emergency Corp Emergency Medicine Past Accepting new patients

Locations

1025 Center St
Ashland, OH 44805
Phone (419) 207-2370

1720 Ohiohealth Way
Ashland, OH 44805
Phone (567) 309-4000

55 Hospital Dr
Athens, OH 45701
Phone (740) 592-9349

921 E Franklin St
Kenton, OH 43326
Phone (419) 673-0761

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

335 Glessner Ave
Mansfield, OH 44903
Phone (419) 522-0320

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

651 W Marion Rd
Mount Gilead, OH 43338
Phone (419) 946-5015

1365 N Lexington Springmill Rd
Ontario, OH 44906
Phone (419) 520-3000

7007 Powers Blvd
Parma, OH 44129
Phone (440) 743-4000

199 W Main St
Shelby, OH 44875
Phone (419) 342-5015

45 St Lawrence Dr
Tiffin, OH 44883
Phone (419) 448-1900

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

6252 Mahoning Ave
Youngstown, OH 44515
Phone (330) 792-7418

8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929

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.

Hospital & facility affiliations 2

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1710903646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 REMIT DR 1056",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606751056",
            "telephone_number": "866-916-5259",
            "fax_number": "231-922-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 CENTER ST",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448054011",
            "telephone_number": "419-289-0491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "MARK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35-080305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2313651",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OH

Sources for this page

Verify at the official NPI Registry.