COURTNEY MARIE GRIMSRUD


Address: 12605 E 16th Ave, Aurora, CO 80045-2545
Phone: 7208480000

COURTNEY MARIE GRIMSRUD (NPI# 1326300864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326300864
Entity Type Individual
Full Name COURTNEY MARIE GRIMSRUD
Credential M.D.
Practice Address 12605 E 16th Ave
Aurora
CO 80045-2545
Mailing Address Po Box 110429
Aurora
CO 80042-0429
Practice Telephone 7208480000
Mailing Telephone 3034937000
Enumeration Date 2012-06-11
Last Update Date 2019-07-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XX0004X Orthopaedic Surgery
Specialization: Foot and Ankle Surgery
DR.0060364 CO Allopathic & Osteopathic Physicians
N 207XX0004X Orthopaedic Surgery
Specialization: Foot and Ankle Surgery
MD60734961 WA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
981080 Nebraska Medical Ctr, Omaha, NE 681981080 6052903752

Office Location

Street Address 12605 E 16TH AVE
City AURORA
State CO
Zip Code 80045-2545

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477556694 Mark Armin Levine Internal Medicine 12605 E 16th Ave, Aurora, CO 80045-2545 2005-05-23
1962001719 Poudre Valley Medical Group, LLC Social Worker 12605 E 16th Ave, Aurora, CO 80045-2545 2020-10-22
1811595473 Jason Hayes Nurse Practitioner 12605 E 16th Ave, Aurora, CO 80045-2545 2020-10-15
1710584560 Alleson Bayer Nurse Practitioner 12605 E 16th Ave, Aurora, CO 80045-2545 2020-10-05
1316554009 Lisa Najera Nurse Practitioner 12605 E 16th Ave, Aurora, CO 80045-2545 2020-09-26
1699382705 James Lloyd Martin Jr. Pharmacy 12605 E 16th Ave, Aurora, CO 80045-2545 2020-09-23
1740808575 Beth Lee Smilkstein Physician Assistant 12605 E 16th Ave, Aurora, CO 80045-2545 2020-07-08
1780200907 Amanda Marie Miller-sarmento Nurse Practitioner 12605 E 16th Ave, Aurora, CO 80045-2545 2020-06-23
1558987909 Heather Ann Sutton Counselor 12605 E 16th Ave, Aurora, CO 80045-2545 2020-06-22
1982220349 Rocco James Miele Nurse Practitioner 12605 E 16th Ave, Aurora, CO 80045-2545 2020-06-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942817408 Salwa Mourtada Bamba Nurse Practitioner University of Colorado Medicine, 12631 East 17th Avenue, Aurora, CO 80045 2020-09-29
1114545233 Chun Cheong Tsui Student in an Organized Health Care Education/Training Program 12801 E. 17th Avenue, Ms 8117, Aurora, CO 80045 2020-07-07
1487278719 James Charles Tuka IIi Social Worker 1700 North Wheeling, Aurora, CO 80045 2020-06-02
1427677806 Justin Yu Student in an Organized Health Care Education/Training Program 12631 E. 17th Ave. Ms B205, Aurora, CO 80045 2020-04-15
1558980011 Erik Von Polsdofer Student in an Organized Health Care Education/Training Program Academic Office 1; Department of Pathology, 12631 East 17th Avenue, Aurora, CO 80045 2020-04-14
1831718568 Luke Porter Bacon Student in an Organized Health Care Education/Training Program 3001 East 17th Place, Aurora, CO 80045 2020-04-13
1366061368 Hilary Novatt Student in an Organized Health Care Education/Training Program 12631 E 17th Ave, B198-6, Room 4007, Aurora, CO 80045 2020-04-10
1376195362 Katie Tuck Pharmacist 1700 North Wheeling Street (119), Fs-111o, Aurora, CO 80045 2019-07-10
1518529130 Ronak Kamal Kapadia Student in an Organized Health Care Education/Training Program 12700 E. 19th Ave, Ms B182 Rm 5104, Aurora, CO 80045 2019-07-03
1245898253 Rasha Elbadry Ahmed Student in an Organized Health Care Education/Training Program Childrens Hospital Colorado Pediatric Neurosurgery, 13123e. 16th Ave, B330, Aurora, CO 80045 2019-06-04
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Taxonomy Information

Taxonomy Code 207XX0004X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Foot and Ankle Surgery

Taxonomy Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1760481519 Tammron Jay Kleeman Orthopaedic Surgery 11820 Destination Dr, Broomfield, CO 80021-2518 2005-07-14
1174521496 Kevin Karthik Nagamani Orthopaedic Surgery 1830 Franklin St, Suite 450, Denver, CO 80218-1128 2005-07-11
1801339502 Orthopedic Centers of Colorado, LLC Orthopaedic Surgery 8101 E Lowry Blvd, Suite 230, Denver, CO 80230 2016-11-29
1205222502 Stephen Blake Wallace Orthopaedic Surgery 3055 Roslyn St Unit 200, Denver, CO 80238-3324 2015-04-13
1548587900 Jonathon David Backus Orthopaedic Surgery 500 W 144th Ave Ste 230, Westminster, CO 80023-9328 2010-04-26
1053554709 Boleslaw Lubomir Czachor Orthopaedic Surgery 10240 Park Meadows Dr, Lone Tree, CO 80124-5425 2009-04-10
1972604916 Eric Lindberg Orthopaedic Surgery 4700 E. Hale Pkwy, Ste 550, Denver, CO 80220-4053 2006-09-25
1679509566 Mark H Perlman Orthopaedic Surgery 2045 Franklin St, Denver, CO 80205-5437 2006-06-23
1598700478 Denver Sports Performance Enhancement Center LLC Orthopaedic Surgery 8200 E Belleview Ave, Suite 615, Greenwood Village, CO 80111-2898 2006-06-17
1194782995 Wesley P Jackson Orthopaedic Surgery 2500 E Prospect Rd, Fort Collins, CO 80525-9718 2006-04-27
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Competitor

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City AURORA
Zip Code 80045

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Dataset Information

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.

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