Kevin Thomas Grieder, D.O.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

F6687 Issued in TX

Practice address

1255 Ashby St Ste B
Seguin, TX 78155-5100

Phone

(830) 372-4830

Fax

(830) 372-9898

NPI assigned

Feb 23, 2007

Last updated

Jul 30, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Seguin Pathology Services, P.a.

  • Clinical Medical Laboratory
  • Seguin, TX
  • NPI 1609901149

  Anatomic Pathology & Clinical Pathology

  NPD Authorized official

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217376000000",
    "number": "1881729309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 ASHBY ST STE B",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555100",
            "telephone_number": "830-372-4830",
            "fax_number": "830-372-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 ASHBY ST STE B",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555100",
            "telephone_number": "830-372-4830",
            "fax_number": "830-372-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIEDER",
        "first_name": "KEVIN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2008-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "F6687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122936103",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Marie Gordon
• Samantha Gore, PA-C
• Alexandria Paige Goyer, DO
• Gracepalm Care LLC
• Kristie Gregg
• Gustavo A Gross, MD
• Guadalupe County Hospital Board (Guadalupe Regional Medical Center Teddy Buerger Center)
• Guadalupe County Hospital Board (Guadalupe Regional Medical Center)
• Guadalupe County Hospital Board (Avir at Seguin)
• Guadalupe County Hospital Board (Guadalupe Regional Medical Center In Patient Rehab)

• Anatomic Pathology & Clinical Pathology Physician in Seguin, TX
• Providers in Seguin, TX by specialty
• Anatomic Pathology & Clinical Pathology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.