MR. MICHAEL DANA GRIMES (NPI# 1396815015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396815015 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL DANA GRIMES |
| Other Name | MICHAEL DANA GRIMES |
| Practice Address |
2828 1st Ave Suite 400 Huntington WV 25702-1236 |
| Practice Telephone | 3045256905 |
| Practice Fax Number | 3045254316 |
| Mailing Telephone | 3045256905 |
| Mailing Fax Number | 3045254316 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2017-02-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 905 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | STATE LICENSE | 905 | 01 |
| WV | 381000527 | 05 | |
| WV | DEA NUMBER | MG1289506 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720595168 | Michael Nolan Grimes | Social Worker | 555 Palm Ave Apt 107, Millbrae, CA 94030-1846 | 2018-01-08 |
| 1124551551 | Michael Grimes | Driver | 4615 W Gate City Blvd Ste 7485, Greensboro, NC 27407-4239 | 2017-04-04 |
| 1275500720 | Michael Grimes | Podiatrist | 2150 Appian Way Ste 206, Pinole, CA 94564-2520 | 2006-03-03 |
| 1528481504 | Michael Grimes | Pharmacist | 475 S Davy Crockett Pkwy, Morristown, TN 37813-1902 | 2014-01-28 |
| 1225350861 | Michael A. Grimes | Dentist | 6301 S Dixie Hwy, West Palm Beach, FL 33405-4328 | 2010-02-24 |
| 1285969170 | Michael J Grimes | Pharmacist | 5901 Holabird Ave, Suite A, Baltimore, MD 21224-6015 | 2009-10-09 |
| 1053549964 | Michael Grimes | Internal Medicine | 1900 Waterdam Plaza Dr Ste 2, Canonsburg, PA 15317-5442 | 2009-06-30 |
| 1104083971 | Michael P Grimes | Obstetrics & Gynecology | 111 Medical Pkwy, Suite 202, Chesapeake, VA 23320-0302 | 2008-05-20 |
| 1043487614 | Michael A Grimes | Case Manager/Care Coordinator | 7107 W 12th St, Suite 201, Little Rock, AR 72204-2404 | 2008-05-13 |
| 1043382286 | Michael Adam Grimes | Pharmacist | 3210 Banksville Rd, Pittsburgh, PA 15216-2757 | 2006-11-14 |
| Street Address |
2828 1ST AVE SUITE 400 |
| City | HUNTINGTON |
| State | WV |
| Zip Code | 25702-1236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932103488 | University Physicians & Surgeons, Inc. | Clinic/Center | 2828 1st Ave, Suite 200, Huntington, WV 25702-1236 | 2005-06-10 |
| 1699215038 | Laura Wiley | Counselor | 2828 1st Ave, Suite #203, Huntington, WV 25702-1236 | 2017-03-05 |
| 1649643982 | Justin Smith | Physician Assistant | 2828 1st Ave, Suite 400, Huntington, WV 25702-1236 | 2015-11-09 |
| 1285005405 | Scott Orthopedic Center | Durable Medical Equipment & Medical Supplies | 2828 1st Ave, Suite 400, Huntington, WV 25702-1236 | 2015-10-14 |
| 1467820449 | Scott Orthopedic Center | Registered Nurse | 2828 1st Ave, Suite 400, Huntington, WV 25702-1236 | 2015-09-09 |
| 1417325333 | James Isaiah Manns | Specialist/Technologist | 2828 1st Ave, Suite 400, Huntington, WV 25702-1236 | 2015-09-09 |
| 1457754483 | Aaron Goodrich | Specialist/Technologist | 2828 1st Ave, Huntington, WV 25702-1236 | 2014-10-05 |
| 1033519194 | Nicholas Dakota Dailey | Specialist/Technologist | 2828 1st Ave, Highlawn Medical Building Suite 400, Huntington, WV 25702-1236 | 2014-08-26 |
| 1912272683 | Justin Allen Eaches | Specialist/Technologist | 2828 1st Ave, Suite 400, Huntington, WV 25702-1236 | 2012-03-14 |
| 1063701944 | Highlawn Preferred Pharmacy | Pharmacy | 2828 1st Ave, Suite 203, Huntington, WV 25702-1236 | 2011-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629692306 | Jessica Nicole Hankins | Social Worker | 2769 Collins Avenue, Huntington, WV 25702 | 2020-05-29 |
| 1932750338 | Dasllastiene Cabell | Technician | 6188 Little 7 Mile Rd, Huntington, WV 25702 | 2019-09-26 |
| 1295386134 | Hope Vance | Technician | 2 Sam Collins Road, Huntington, WV 25702 | 2019-09-23 |
| 1649726373 | Erin Nicole Wingate | Emergency Medicine | 2828 1st Ave., Huntington, WV 25702 | 2016-09-01 |
| 1639545510 | Ready Set Relax LLC | Massage Therapist | 2411 3rd Avenue, Huntington, WV 25702 | 2015-08-14 |
| 1780709923 | M N Saleme Surgery Inc | Surgery | 2828 First Ave, Suite 205, Huntington, WV 25702 | 2007-03-20 |
| 1558496489 | Rajendra K Jain Urology Inc | Urology | 2828 First Ave Suite 204, Huntington, WV 25702 | 2007-02-22 |
| 1578621678 | Andrea R Ferguson | Registered Nurse | 2860 3rd Ave Suite 10, Huntington, WV 25702 | 2006-12-04 |
| 1588742688 | Tri State Neurology Pllc | Psychiatry & Neurology | 2860 Third Ave, Suite 20, Huntington, WV 25702 | 2006-11-02 |
| 1790889905 | All Med LLC | Durable Medical Equipment & Medical Supplies | 410 Seventh Ave, Huntington, WV 25702 | 2006-09-08 |
| Find all providers in zip 25702 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780294520 | Emily Lisanti | Physician Assistant | 17 Grandview St, Huntington, NY 11743-3534 | 2020-08-06 |
| 1194342667 | Alexandra J Fitts | Physician Assistant | 9 Sherman St, Huntington, NY 11743-6241 | 2020-07-01 |
| 1851850762 | Adam Phillip Otworth | Physician Assistant | 2900 1st Ave Rm 228, Huntington, WV 25702-1241 | 2019-03-19 |
| 1376001628 | Elise Frances Lacarrubba | Physician Assistant | 5 E Huxley Dr, Huntington, NY 11743-1009 | 2019-03-06 |
| 1770980534 | Emily Ann Sombke | Physician Assistant | 249 Manor Rd., Huntington, NY 11743 | 2014-11-21 |
| 1477800977 | Patrick Shannon Lee | Physician Assistant | Attn: Tammie Silva, 1340 Hal Greer Boulevard, Huntington, WV 25701-3800 | 2012-08-14 |
| 1134430184 | Jennifer Louise Hofmann | Physician Assistant | 15 Greenhill Ln, Huntington, NY 11743-5818 | 2010-06-24 |
| 1356581466 | Anna M Kowalczyk | Physician Assistant | 24 Bartlett Pl, Huntington, NY 11743-3702 | 2009-03-02 |
| 1952520496 | Carol Schachter | Physician Assistant | 180 East Pulaski Road, Huntington, NY 11746 | 2007-04-24 |
| 1598856536 | Kimberly A Bastible | Physician Assistant | 18 Harmony Rd, Huntington, NY 11743-2316 | 2006-09-27 |
| Find all providers in HUNTINGTON | ||||
| City | HUNTINGTON |
| Zip Code | 25702 |
Please comment or provide details below to improve the information on MR. MICHAEL DANA GRIMES.
| 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.