MR. CHARLES GRINDER (NPI# 1013377415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013377415 |
| Entity Type | Individual |
| Full Name | MR. CHARLES GRINDER |
| Credential | APRN |
| Practice Address |
102 Mountain Place Dr Ste C Mountain View AR 72560 |
| Mailing Address |
102 Mountain Place Dr Ste C Mountain View AR 72560-6801 |
| Practice Telephone | 8702693447 |
| Practice Fax Number | 8702693448 |
| Mailing Telephone | 8702693447 |
| Mailing Fax Number | 8702693448 |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2018-09-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A004694 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 679 N Main St, Salem, AR 725769451 | 8708952152 |
| Street Address |
102 MOUNTAIN PLACE DR STE C |
| City | MOUNTAIN VIEW |
| State | AR |
| Zip Code | 72560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979781 | Creoks Mental Health Services, Inc | Clinic/Center | 301 Industrial Road, Mountain View, AR 72560 | 2020-07-14 |
| 1194377861 | John Randolph Crone II | Physical Therapist | 103 Mountain Place Drive, Mountain View, AR 72560 | 2019-07-12 |
| 1154898161 | Candace Casey Lane | Physical Therapy Assistant | 260 Hickory Circle, Mountain View, AR 72560 | 2018-10-29 |
| 1780102210 | Janet Karen Watkins | Developmental Therapist | 1810 Ozarka College Drive, Mountain View, AR 72560 | 2017-09-05 |
| 1861928038 | Jason Nope | Registered Nurse | 217 Brewer Avenue, Mountain View, AR 72560 | 2017-05-10 |
| 1912365982 | Baxter Regional Health System | Family Medicine | 102 Mountain Place Drive, Suite C, Mountain View, AR 72560 | 2016-02-05 |
| 1790142859 | Baxter Regional Health System | Nurse Practitioner | 803 W Main St., Mountain View, AR 72560 | 2016-01-20 |
| 1518337732 | Beverly Clark | Nurse Practitioner | 803 West Main Street, Mountain View, AR 72560 | 2015-09-30 |
| 1447503941 | Mitchell's Main Street Pharmacy, Inc | Pharmacy | 214 East Main St, Mountain View, AR 72560 | 2012-10-22 |
| 1366743833 | Heather A Gilbreath | Licensed Practical Nurse | 211 Blanchard Ave., Mountain View, AR 72560 | 2010-11-15 |
| Find all providers in zip 72560 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871141945 | Cindy Crystal Wong | Nurse Practitioner | 2630 West El Camino Real, Mountain View, CA 94040 | 2019-08-30 |
| 1578037859 | Katie Lutz | Nurse Practitioner | 151 Calderon Ave Apt 182, Mountain View, CA 94041-1444 | 2019-01-19 |
| 1407335847 | Carla Sue Langston | Nurse Practitioner | 2110 E Main St, Mountain View, AR 72560-6439 | 2018-08-07 |
| 1801306485 | Jordan Evans Matthews | Nurse Practitioner | 2490 Hospital Dr Ste 309, Mountain View, CA 94040-4125 | 2017-10-09 |
| 1790142859 | Baxter Regional Health System | Nurse Practitioner | 803 W Main St., Mountain View, AR 72560 | 2016-01-20 |
| 1518337732 | Beverly Clark | Nurse Practitioner | 803 West Main Street, Mountain View, AR 72560 | 2015-09-30 |
| 1437557451 | Cheri Kai | Nurse Practitioner | 580 N Rengstorff Ave, Mountain View, CA 94043-2894 | 2014-12-08 |
| 1588905236 | Lisa Christine Gavin Kucera | Nurse Practitioner | 2485 Hospital Dr Ste 321, Mountain View, CA 94040-4103 | 2013-03-05 |
| 1326301177 | Heather Blythe Delagi | Nurse Practitioner | 465 Fairchild Dr Ste 112, Mountain View, CA 94043-2254 | 2012-06-18 |
| 1154516482 | Zoe L Shih | Nurse Practitioner | 18-1235 Volcano Highway, Mountain View, HI 96771 | 2007-09-10 |
| Find all providers in MOUNTAIN VIEW | ||||
| City | MOUNTAIN VIEW |
| Zip Code | 72560 |
Please comment or provide details below to improve the information on MR. CHARLES GRINDER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.