NPIMap

Individual provider Active NPI

Quinn Andrew Grimes, M.D.

  • Emergency Medicine Physician
  • Lebanon, PA
National Provider Identifier
1750624946
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD456810 Issued in PA
Practice address
252 S 4TH St
Lebanon, PA 17042
Phone
(717) 270-7740
Fax
(717) 270-3877
NPI assigned
Apr 5, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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 MD456810 PA Primary

Addresses

Primary practice location

252 S 4TH St
Lebanon, PA 17042

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

111 S Front St
Harrisburg, PA 17101
Phone (717) 988-0000

Other practice location 2

169 Martin Ave
Ephrata, PA 17522-1734
Phone (717) 738-6420

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160301002167 PA Practitioner - Emergency Medicine 2264665074 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

252 S 4TH St
Lebanon, PA 17042-6111
Phone (717) 270-7500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD456810PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Care Services of Pennsylvania, P.C. Emergency Medicine CurrentSince Oct 1, 2017 Accepting new patients
The Good Samaritan Hospital of Lebanon, Pennsylvania Emergency Medicine CurrentSince Aug 18, 2021 Accepting new patients
Pinnacle Health Emergency Department Services LLC Emergency Medicine CurrentSince Mar 1, 2018 Accepting new patients
St Luke's Physician Group Inc CurrentSince Jul 12, 2018 Accepting new patients
Ephrata Community Hospital Emergency Medicine Current Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
Ephrata Community Hospital Emergency Medicine CurrentSince Jun 13, 2022 Accepting new patients
Ephrata Community Hospital CurrentSince Jun 13, 2022 Accepting new patients
St. Luke's Physician Group, Inc. Emergency Medicine CurrentSince Jul 12, 2018 Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Emergency Medicine CurrentSince Oct 1, 2017 Accepting new patients

Locations

169 Martin Ave
#1002
Ephrata, PA 17522
Phone (717) 738-6818

169 Martin Ave
Ephrata, PA 17522
Phone (717) 733-0311

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

252 S 4th St
Lebanon, PA 17042
Phone (717) 270-7500

4300 Londonderry Rd
Lower Paxton, PA 17109
Phone (717) 597-7044

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

Interoperability endpoints

  • Direct secure messaging: qgrimes60039@wellspan.direct-ci.com

Organizations & group practices 10

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 3

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": "1365120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1750624946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 S 4TH ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "17042",
            "telephone_number": "717-270-7740",
            "fax_number": "717-270-3877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 S Front St",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "17101",
            "country_code": "US",
            "telephone_number": "717-988-0000",
            "fax_number": "717-782-5716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "169 Martin Ave",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175221734",
            "country_code": "US",
            "telephone_number": "717-738-6420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "QUINN",
        "middle_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-05",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD456810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, PA

Sources for this page

Verify at the official NPI Registry.