DR. KATHLEEN T. GRIMM (NPI# 1396709499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396709499 |
| Entity Type | Individual |
| Full Name | DR. KATHLEEN T. GRIMM |
| Credential | M.D. |
| Practice Address |
3560 N Buffalo St Orchard Park NY 14127-1934 |
| Practice Telephone | 7166628510 |
| Practice Fax Number | 7166628574 |
| Mailing Telephone | 7166628510 |
| Mailing Fax Number | 7166628574 |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2016-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 198122 | NY | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 198122 | NY | Allopathic & Osteopathic Physicians |
| N | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
198122 | NY | Allopathic & Osteopathic Physicians |
| Y | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
198122 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BC/BS | 000524676004 | 01 | |
| NY | BC/BS OF WNY | 000524676001 | 01 |
| NY | 01744283 | 05 | |
| BC/BS | 000524676003 | 01 | |
| IHA | 0409065 | 01 | |
| FIDELIS | 05092300013 | 01 | |
| FIDELIS | 080515000099 | 01 | |
| NY | UNIVERA | 00010298401 | 01 |
| BC/BS | 000524676005 | 01 | |
| FIDELIS | 051213000027 | 01 | |
| UNIVERA | 00010298402 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619346046 | Kathleen Marie Grimm | Dental Hygienist | 1670 Beam Ave, Maplewood, MN 55109-1201 | 2015-09-16 |
| 1285678060 | Kathleen A Grimm | Nurse Anesthetist, Certified Registered | 23901 Lahser Rd, Southfield, MI 48034-6035 | 2006-06-15 |
| Street Address |
3560 N BUFFALO ST |
| City | ORCHARD PARK |
| State | NY |
| Zip Code | 14127-1934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073577102 | Lori Ann Dimillo | Nurse Practitioner | 3560 N Buffalo St, Orchard Park, NY 14127-1934 | 2006-04-14 |
| 1811143639 | Kristin Elizabeth Poppenberg Duquette | Internal Medicine | 3560 N Buffalo St, Orchard Park, NY 14127-1934 | 2008-08-12 |
| 1437315215 | Dana Lynn Wymer | Internal Medicine | 3560 N Buffalo St, Orchard Park, NY 14127-1934 | 2008-07-31 |
| 1861456642 | David Robert Deberny | Internal Medicine | 3560 N Buffalo St, Orchard Park, NY 14127-1934 | 2006-04-17 |
| 1396700126 | Jeanette Ellen Campbell | Nurse Practitioner | 3560 N Buffalo St, Orchard Park, NY 14127-1934 | 2006-04-17 |
| 1225093057 | Linda Marie Stockmeyer | Nurse Practitioner | 3560 N Buffalo St, Orchard Park, NY 14127-1934 | 2006-04-17 |
| 1497719264 | Francis Charles Mezzadri | Internal Medicine | 3560 N Buffalo St, Orchard Park, NY 14127-1934 | 2006-04-17 |
| 1215991351 | Quaker Medical Associates, PC | Pediatrics | 3560 N Buffalo St, Orchard Park, NY 14127-1934 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902330 | Ellory Marie Roberts | Physical Therapist | 3065 Southwestern Blvd Ste. 108, Orchard Park Progressive Physical Therapy At Parkland P, Orchard Park, NY 14127 | 2020-11-03 |
| 1821649377 | Jeannine Ann Haak | Occupational Therapy Assistant | 6455 West Quaker Street, Orchard Park, NY 14127 | 2019-09-26 |
| 1578038147 | Cody Adam Barber | Counselor | 3176 Abbot Rd, Building A, Suite 500, Orchard Park, NY 14127 | 2018-10-09 |
| 1922522259 | Mikaela Rose Ditonto | Emergency Medical Technician, Basic | 7 Woodbine Ct., Orchard Park, NY 14127 | 2017-07-28 |
| 1770007098 | Mary C Daley | Psychologist | 196 Stonehenge Dr., Orchard Park, NY 14127 | 2017-07-28 |
| 1346762960 | Michael James Robb | Counselor | 3176 Abbott Rd., Bldg A. Suite 500, Orchard Park, NY 14127 | 2017-07-14 |
| 1740733575 | Nr Physician Group, Pllc | Radiology | 3910 N Buffalo St, Orchard Park, NY 14127 | 2016-07-28 |
| 1376096057 | Joshua E Weeks | Physician Assistant | 3671 Southwestern Blvd St 101, Suite 101, Orchard Park, NY 14127 | 2016-07-28 |
| 1922400746 | Anton Alisankus | Counselor | 272 Thorn Ave, Orchard Park, NY 14127 | 2014-09-24 |
| 1912324393 | Luke Lennox | Dermatology | 3900 N Buffalost, Williamsville, NY 14127 | 2014-03-24 |
| Find all providers in zip 14127 | ||||
| Taxonomy Code | 207RH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hospice and Palliative Medicine |
| An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477190809 | Hospice of Jefferson County, Inc. | Internal Medicine | 531 Washington St Ste 1100, Watertown, NY 13601-4037 | 2019-12-04 |
| 1841648011 | Infinity Medical Group P.C. | Internal Medicine | 275 Northpointe Pkwy, Suite 50, Amherst, NY 14228-1895 | 2016-05-29 |
| 1285044800 | Lawrence Asprec | Internal Medicine | 525 E 68th St # 14, New York, NY 10065-4870 | 2014-05-05 |
| 1588082960 | Anup Suresh Bharani | Internal Medicine | 1468 Madison Ave Bldg 10th, New York, NY 10029-6508 | 2014-04-02 |
| 1740613603 | Vanessa Silvana Lewis Ramos | Internal Medicine | 3347 Steuben Ave Fl 2, Bronx, NY 10467-2805 | 2013-08-14 |
| 1871883405 | Eugene Choi | Internal Medicine | 350 E 17th St Fl 12, New York, NY 10003-3805 | 2011-04-16 |
| 1902035215 | Lourdes Gricel Merlo | Internal Medicine | 65-45 Saunders Street, 6f, Rego Park, NY 11374 | 2009-07-08 |
| 1033319314 | Sarita Patel | Internal Medicine | 171 Lawrence Ave, Eastchester, NY 10709-5417 | 2007-07-24 |
| 1871704379 | Clement Stephen Connolly | Internal Medicine | 89 Horton St, Bronx, NY 10464-1618 | 2007-05-25 |
| 1639391972 | Premier Internal Medicine, Pllc | Internal Medicine | 850 Fulton Street, Farmingdale, NY 11735 | 2007-05-03 |
| Find all providers with the same taxonomy | ||||
| City | ORCHARD PARK |
| Zip Code | 14127 |
Please comment or provide details below to improve the information on DR. KATHLEEN T. GRIMM.
| 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.