ELLEN M. GRIMM (NPI# 1275500100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275500100 |
| Entity Type | Individual |
| Full Name | ELLEN M. GRIMM |
| Credential | MD |
| Practice Address |
1330 Wonder World Dr San Marcos TX 78666-7567 |
| Mailing Address |
12221 Mopac Expressway North Austin TX 78758-2483 |
| Practice Telephone | 5128050680 |
| Practice Fax Number | 5128050682 |
| Mailing Telephone | 5128050680 |
| Mailing Fax Number | 5128050682 |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2016-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
J4170 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 101802002 | 05 | |
| TX | RAILROAD MEDICARE | 390007009 | 01 |
| TX | 101802004 | 05 |
| Street Address |
1330 WONDER WORLD DR |
| City | SAN MARCOS |
| State | TX |
| Zip Code | 78666-7567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053317529 | Vigor and Vitality, LLC | Physical Medicine & Rehabilitation | 1330 Wonder World Dr, Ste 104, San Marcos, TX 78666-7567 | 2005-06-21 |
| 1962885285 | Christine Annette Thompson | Nurse Practitioner | 1330 Wonder World Dr, B108, San Marcos, TX 78666-7566 | 2015-07-06 |
| 1831505353 | King and Court Imaging, Pllc | Radiology | 1330 Wonder World Dr, Ste 202, San Marcos, TX 78666-7566 | 2014-07-03 |
| 1144548603 | Lisa Marie Deboer | Nurse Practitioner | 1330 Wonder World Dr, Suite #101, San Marcos, TX 78666-7566 | 2010-05-08 |
| 1932307261 | William Peter Abide Jr. | Internal Medicine | 1330 Wonder World Dr, B-108, San Marcos, TX 78666-7566 | 2007-07-09 |
| 1801016480 | Curtis Scott Solomon | Internal Medicine | 1330 Wonder World Dr, Suite B108, San Marcos, TX 78666-7566 | 2007-04-26 |
| 1992786883 | San Marcos Mri, Lp | Clinic/Center | 1330 Wonder World Dr, Ste 202, San Marcos, TX 78666-7566 | 2005-11-08 |
| 1457344780 | Billie Karen Martin | Internal Medicine | 1330 Wonder World Dr, Ste B108, San Marcos, TX 78666-7566 | 2005-08-23 |
| 1447251905 | Boguslaw Godlewski | Internal Medicine | 1330 Wonder World Dr, Ste B108, San Marcos, TX 78666-7566 | 2005-08-09 |
| 1083615496 | Ronald R Hall | Internal Medicine | 1330 Wonder World Dr, Suite B108, San Marcos, TX 78666-7566 | 2005-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656198 | Jodie Lynn Stauffer | Social Worker | 2497 Fm 1979, San Marcos, TX 78666 | 2020-10-14 |
| 1619590965 | Ann Mary Carney | Occupational Therapist | 302 Riverside Dr, San Marcos, TX 78666 | 2020-05-21 |
| 1811510381 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 101 Concho St, San Marcos, TX 78666 | 2020-05-19 |
| 1174157101 | Chase Joseph Gibson | Specialist/Technologist | 616 N Lbj Dr, Beretta Hall 401, San Marcos, TX 78666 | 2020-02-28 |
| 1548800782 | Emily Granger | Specialist/Technologist | 106 Charles Austin Dr, San Marcos, TX 78666 | 2020-01-15 |
| 1689138562 | Joseph Richard Lednicky | Specialist/Technologist | 700 Aquarena Springs Drive, San Marcos, TX 78666 | 2019-01-25 |
| 1376007336 | Viktoria Guerrero | Specialist/Technologist | Jowers Access Rd, San Marcos, TX 78666 | 2019-01-24 |
| 1336611771 | Joan Marie Wood | Occupational Therapist | Cole Pediatric Therapy, 101 Uhland Rd, San Marcos, TX 78666 | 2018-12-26 |
| 1851861496 | Kingfisher Health LLC | Home Health | 125 Mccarty Lane, San Marcos, TX 78666 | 2018-11-27 |
| 1669954723 | Christopher Macha | Student in an Organized Health Care Education/Training Program | 1 Jowers Access Road, San Marcos, TX 78666 | 2018-09-05 |
| Find all providers in zip 78666 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316137722 | Qing Ren | Internal Medicine | 1330 Wonder World Dr Ste 101, San Marcos, TX 78666-7567 | 2007-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203659 | Nephrology and Hypertension Specialists Pa | Internal Medicine | 4102 Woodlawn Ave Ste 220, Pasadena, TX 77504-1949 | 2020-10-22 |
| 1437781960 | Haus Medical Group Pllc | Internal Medicine | 1315 St Joseph Pkwy Ste 1704, Houston, TX 77002-8238 | 2020-02-12 |
| 1962040949 | Ngoc-han Thi Tran | Internal Medicine | 3295 S Cooper St Ste 119, Arlington, TX 76015-2359 | 2019-12-20 |
| 1659916617 | Heartland Physicians Associates Nephrology Pllc | Internal Medicine | 150 Pine Forest Dr Ste 501, Shenandoah, TX 77384-5304 | 2019-11-14 |
| 1578106894 | Cardiorenal Therapeutics of North Texas Pllc | Internal Medicine | 300 N Highland Ave Ste 365, Sherman, TX 75092-7393 | 2019-10-18 |
| 1639711534 | Immaculate Vascular Access Center Pllc | Internal Medicine | 349 S Helen Moore Rd Apt 6205, San Benito, TX 78586-9091 | 2019-10-11 |
| 1376193433 | Ntkc - Dfw, Pllc | Internal Medicine | 10700 Victoria Ash Dr., Keller, TX 76244 | 2019-09-19 |
| 1841849098 | Austin Kidney Care LLC | Internal Medicine | 2005 Palo Duro Rd, Austin, TX 78757-3242 | 2019-09-10 |
| 1467000828 | Ntkc-dfw, Pllc | Internal Medicine | 2220 Bryan Pl Ste 104, Midlothian, TX 76065-7127 | 2019-08-29 |
| 1306407697 | H&n Medical Investment, LLC | Internal Medicine | 4201 Medical Center Dr. Ste 240, Mckinney, TX 75069-1774 | 2019-06-26 |
| Find all providers with the same taxonomy | ||||
| City | SAN MARCOS |
| Zip Code | 78666 |
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| 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.