DR. JORDAN GRILLIOT (NPI# 1366979007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366979007 |
| Entity Type | Individual |
| Full Name | DR. JORDAN GRILLIOT |
| Credential | D.O. |
| Practice Address |
875 8th St Ne Massillon OH 44646-8503 |
| Practice Telephone | 3308344785 |
| Mailing Telephone | 3308344785 |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2017-05-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
875 8TH ST NE |
| City | MASSILLON |
| State | OH |
| Zip Code | 44646-8503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306834809 | David Jacob Heath | Emergency Medicine | 875 8th St Ne, Massillon, OH 44646-8503 | 2005-10-10 |
| 1912489436 | Massillon Regional Medical Center | Emergency Medicine | 875 8th St Ne, Massillon, OH 44646 | 2018-08-31 |
| 1780101360 | Jeremy Alfani | Nurse Anesthetist, Certified Registered | 875 8th St Ne, Massillon, OH 44646-8503 | 2017-08-24 |
| 1568997211 | Jordyn Thiel | Student in an Organized Health Care Education/Training Program | 875 8th St Ne, Massillon, OH 44646-8503 | 2017-05-01 |
| 1851826770 | Sarah Beth Slagle | Student in an Organized Health Care Education/Training Program | 875 8th St Ne, Massillon, OH 44646-8503 | 2017-04-28 |
| 1588199400 | William Durkin | Student in an Organized Health Care Education/Training Program | 875 8th St Ne, Massillon, OH 44646-8503 | 2017-04-28 |
| 1730638032 | Britton Hostetler | Nurse Anesthetist, Certified Registered | 875 8th St Ne, Massillon, OH 44646-8503 | 2016-09-27 |
| 1336698158 | Amanda Ross | Nurse Anesthetist, Certified Registered | 875 8th St Ne, Northstar Anesthesia, Massillon, OH 44646-8503 | 2016-09-22 |
| 1831647973 | Casey A Fisher | Nurse Anesthetist, Certified Registered | 875 8th St Ne, Anesthesia Department, Massillon, OH 44646-8503 | 2016-09-19 |
| 1487001228 | Nicholas E Spittle | Student in an Organized Health Care Education/Training Program | 875 8th St Ne, Massillon, OH 44646-8503 | 2016-05-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063027498 | Tiarra Q Mccole | Home Health Aide | 879 Walnut Rd Se, Massillon, OH 44646 | 2020-09-11 |
| 1083268536 | Jenna Peters | Speech-Language Pathologist | 8036 Daytona St Nw, Massillan, OH 44646 | 2019-08-01 |
| 1063998342 | Erin Lindsay Baters | Nurse Practitioner | 2037 Wales Rd, Suite #110, Massillon, OH 44646 | 2018-07-19 |
| 1275036261 | Sarah Nichols | Licensed Practical Nurse | 1428 David Dodson Drive, Massillon, OH 44646 | 2018-03-15 |
| 1295233054 | Ohio Treatment Center, LLC | Clinic/Center | 2520 Wales Ave. Nw, Suite 100, Massillon, OH 44646 | 2018-01-26 |
| 1861901019 | Mrs Transport Services LLC | Non-emergency Medical Transport (VAN) | 2514 List St Nw, Massillon, OH 44646 | 2017-09-20 |
| 1386162899 | Brandy Marie Townsend | Home Health | 306 2nd St Sw, Massillon, OH 44646 | 2017-09-05 |
| 1861875007 | Josiah Wagler | Student in an Organized Health Care Education/Training Program | 875 Eigth Street Ne, Massillon, OH 44646 | 2015-07-07 |
| 1205215647 | Michelle Avril Burch | Psychologist | 1 Paul E. Brown Drive, Se, Massillon, OH 44646 | 2015-05-19 |
| 1275940371 | Anthony Tedesco | Orthopaedic Surgery | 875 8th St. Ne, Massillon, OH 44646 | 2014-07-21 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861875007 | Josiah Wagler | Student in an Organized Health Care Education/Training Program | 875 Eigth Street Ne, Massillon, OH 44646 | 2015-07-07 |
| 1518583228 | Jessica Le | Student in an Organized Health Care Education/Training Program | 3244 Bailey St Nw, Massillon, OH 44646-3616 | 2020-06-18 |
| 1568997211 | Jordyn Thiel | Student in an Organized Health Care Education/Training Program | 875 8th St Ne, Massillon, OH 44646-8503 | 2017-05-01 |
| 1851826770 | Sarah Beth Slagle | Student in an Organized Health Care Education/Training Program | 875 8th St Ne, Massillon, OH 44646-8503 | 2017-04-28 |
| 1588199400 | William Durkin | Student in an Organized Health Care Education/Training Program | 875 8th St Ne, Massillon, OH 44646-8503 | 2017-04-28 |
| 1861935157 | Jennifer Porachan | Student in an Organized Health Care Education/Training Program | 2311 Nave Rd Se, Massillon, OH 44646-8822 | 2016-11-18 |
| 1487001228 | Nicholas E Spittle | Student in an Organized Health Care Education/Training Program | 875 8th St Ne, Massillon, OH 44646-8503 | 2016-05-23 |
| 1851748925 | Neysa Dominguez | Student in an Organized Health Care Education/Training Program | 875 8th St Ne, Massillon, OH 44646-8503 | 2016-05-19 |
| 1619232055 | Hannah Marie Mckeever | Student in an Organized Health Care Education/Training Program | 875 8th St Ne, Massillon, OH 44646-8503 | 2012-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114195 | Madeline Rose Barnes | Student in an Organized Health Care Education/Training Program | 11322 Wilderness Way Ct, Belle Center, OH 43310-9330 | 2020-11-04 |
| 1073113940 | Chelsea Ann Winner | Student in an Organized Health Care Education/Training Program | 7395 State Route 119, Maria Stein, OH 45860-8717 | 2020-10-29 |
| 1770182578 | Abigail Morgan Naegele | Student in an Organized Health Care Education/Training Program | 9604 County Road 107 Unit 26, Proctorville, OH 45669-8023 | 2020-10-22 |
| 1720687833 | Bethany C Eagle | Student in an Organized Health Care Education/Training Program | 1015 Taylor Rd, Mansfield, OH 44903-7683 | 2020-10-20 |
| 1013515493 | Jonathan Ehrenkrantz | Student in an Organized Health Care Education/Training Program | 5720 Reigart Rd, Fairfield Township, OH 45011-2160 | 2020-10-16 |
| 1205434925 | Madeline Mae Juergens | Student in an Organized Health Care Education/Training Program | 3600 Colonel Glenn Hwy 117 Health Sciences Bldg, Dayton, OH 45435-0001 | 2020-10-14 |
| 1871190546 | Philip Maxwell Wienkamp | Student in an Organized Health Care Education/Training Program | 6194 Oakhaven Dr, Cincinnati, OH 45233-4444 | 2020-10-06 |
| 1922615335 | Ijeoma Osigwe | Student in an Organized Health Care Education/Training Program | 380 Butterfly Gardens Dr Ste 4a, Columbus, OH 43215-7508 | 2020-09-29 |
| 1407463862 | Kim El Haddad | Student in an Organized Health Care Education/Training Program | Cleveland Clinic Main Campus 9500 Euclid Avenue/na-23, Cleveland, OH 44195-0001 | 2020-09-29 |
| 1376150854 | Diana Lynne Warner | Student in an Organized Health Care Education/Training Program | 7663 Fairground Rd, Blanchester, OH 45107-1548 | 2020-09-28 |
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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.