DR. ELMO ALLEN GRIGGS (NPI# 1235209156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235209156 |
Entity Type | Individual |
Full Name | DR. ELMO ALLEN GRIGGS |
Credential | MD |
Practice Address |
2811 Washington Ave Bedford IN 47421-5310 |
Practice Telephone | 8126750902 |
Practice Fax Number | 8126758251 |
Mailing Telephone | 8126750902 |
Mailing Fax Number | 8126758251 |
Enumeration Date | 2006-11-08 |
Last Update Date | 2019-03-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
01029070A | IN | Allopathic & Osteopathic Physicians |
N | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
01029070A | IN | Allopathic & Osteopathic Physicians |
N | 208D00000X | General Practice | 01029070A | IN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 100383060 | 05 | |
IN | COMMERCIAL INSURANCES | 351129269 | 01 |
Street Address |
2811 WASHINGTON AVE |
City | BEDFORD |
State | IN |
Zip Code | 47421-5310 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851905970 | Kortney Nicole Curtis | Nurse Practitioner | 2811 Washington Ave, Bedford, IN 47421-5310 | 2020-09-04 |
1073148227 | John Mess | Counselor | 2811 Washington Ave, Bedford, IN 47421-5310 | 2020-03-09 |
1558831461 | Rhonda Jean Mckinney | Nurse Practitioner | 2811 Washington Ave, Bedford, IN 47421-5310 | 2018-12-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114406303 | Leana Michelle Massimini | Speech-Language Pathologist | 3710 Kenneth Simpson Ln, Bedford, IN 47421 | 2018-08-09 |
1497246888 | Sara Lehr Corry | Counselor | 2325 Q St., Bedford, IN 47421 | 2018-05-22 |
1760737274 | Lisa Lynne Autry | Social Worker | 2125 16th Street, Bedford, IN 47421 | 2012-07-20 |
1285998153 | Reid Clipp Crosby | Obstetrics & Gynecology | 118woodhill Dr, Bedford, IN 47421 | 2012-06-26 |
1730453184 | Fields Chiropractic Inc | Chiropractor | 2418 W 16th St, Bedford, IN 47421 | 2012-03-02 |
1639461783 | Lori Wininger | Physical Therapy Assistant | 2137 16th Street, Bedford, IN 47421 | 2011-05-09 |
1871743716 | Union Optical and Eyecare Center, Inc. | Optometrist | 3343 Michael Ave, Bedford, IN 47421 | 2008-09-29 |
1326207176 | Ross Wright | Surgery | 179 Shawswick Road, Bedford, IN 47421 | 2008-06-06 |
1336320563 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 1510 Clinic Dr, Bedford, IN 47421 | 2007-11-15 |
1306031992 | Assisted Living Concepts Inc | Assisted Living Facility | 3008 Shawnee Drive, South Bedford, IN 47421 | 2007-09-07 |
Find all providers in zip 47421 |
Taxonomy Code | 207QA0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Addiction Medicine |
A family medicine physician who specializes in the diagnosis and treatment of addictions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659841880 | Dependency Medical Holdings Corporation | Family Medicine | 5600 W Bradbury Ave, Indianapolis, IN 46241 | 2018-11-30 |
1467824698 | Acorn Addiction Centers, LLC | Family Medicine | 1201 N Post Rd Ste 4, Indianapolis, IN 46219-4225 | 2015-10-27 |
1134306947 | Gerald Paul Myers | Family Medicine | 3 Park Row, Michigan City, IN 46360 | 2008-01-23 |
1043383680 | The Kolbe Center | Family Medicine | 1803 Broad Ripple Ave, Indianapolis, IN 46220-2339 | 2006-11-15 |
1336211481 | Midwest Integrated Health Systems, P.C. | Family Medicine | 3300 W 15th Ave, Gary, IN 46404-1963 | 2006-11-14 |
1194719757 | Lawrence Hastings Schoch | Family Medicine | 2580 Michigan Rd, Suite 2, Madison, IN 47250-2491 | 2005-09-09 |
1609340983 | Nwi Behavioral & Addiction Medicine LLC | Family Medicine | 7805 Taft St, Merrillville, IN 46410-5233 | 2019-01-19 |
1134690258 | Serenity Primary Care & Recovery LLC | Family Medicine | 2708 Paoli Pike Ste I, New Albany, IN 47150-5100 | 2018-12-16 |
1215411020 | Stellhorn Wellness, LLC | Family Medicine | 3464 Stellhorn Rd, Fort Wayne, IN 46815-4630 | 2018-09-18 |
1013418599 | East Indiana Recovery, LLC | Family Medicine | 1528 Nw 5th St, Richmond, IN 47374-1844 | 2018-02-21 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on DR. ELMO ALLEN GRIGGS.
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.