LISA M GRIMALDI


Address: 1919 E Thomas Rd, Phoenix, AZ 85016
Phone: 6029331784

LISA M GRIMALDI (NPI# 1447319306) 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) 1447319306
Entity Type Individual
Full Name LISA M GRIMALDI
Credential MD
Practice Address 1919 E Thomas Rd
Phoenix
AZ 85016
Mailing Address 3200 E Camelback Rd
Ste 250
Phoenix
AZ 85018-2327
Practice Telephone 6029331784
Practice Fax Number 6029331785
Mailing Telephone 6029331813
Enumeration Date 2006-12-07
Last Update Date 2018-10-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2080P0203X Pediatrics
Specialization: Pediatric Critical Care Medicine
C10012364 DE Allopathic & Osteopathic Physicians
Y 2080P0203X Pediatrics
Specialization: Pediatric Critical Care Medicine
36853 AZ Allopathic & Osteopathic Physicians
N 2080P0203X Pediatrics
Specialization: Pediatric Critical Care Medicine
25MA07959500 NJ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NJ 0074624 05
DE 250387785 05

Other Providers LISA GRIMALDI

NPI Name Taxonomy Address Enumeration
1790051274 Lisa Grimaldi Physician Assistant 1110 E Routt 66, Suite 100, Flagstaff, AZ 86001 2012-03-28
1013242429 Lisa N Grimaldi Internal Medicine 900 S Caton Ave, Baltimore, MD 21229-5201 2009-10-03

Office Location

Street Address 1919 E THOMAS RD
City PHOENIX
State AZ
Zip Code 85016

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538162953 Richard N Southard Pediatrics 1919 E Thomas Rd, Phoenix, AZ 85016-7710 2005-05-31
1265049472 Chelsea Agricola Nurse Practitioner 1919 E Thomas Rd, Phoenix, AZ 85016-7710 2020-09-30
1871109686 Madeline Rose Mcnamee Audiologist 1919 E Thomas Rd, Phoenix, AZ 85016-7710 2020-09-17
1699380212 Lindsey N Manz Dietitian, Registered 1919 E Thomas Rd, Phoenix, AZ 85016-7710 2020-09-10
1376156331 Jena Paige Buck Occupational Therapist 1919 E Thomas Rd, Phoenix, AZ 85016-7710 2020-08-28
1386257244 Alia Torfa Registered Nurse 1919 E Thomas Rd, Phoenix, AZ 85016-7710 2020-08-28
1336751999 Cassandra E Martinez Registered Nurse 1919 E Thomas Rd, Phoenix, AZ 85016-7710 2020-08-17
1811508708 Clara A Hart Nurse Practitioner 1919 E Thomas Rd, Phoenix, AZ 85016-7710 2020-08-13
1811505571 Daniela M Giralt Nurse Practitioner 1919 E Thomas Rd, Phoenix, AZ 85016-7710 2020-07-20
1902424179 Soren B Mickelsen Speech-Language Pathologist 1919 E Thomas Rd, Phoenix, AZ 85016-7710 2020-07-13
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851992705 Heatheranne Baker-oldfield Counselor 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 2020-11-06
1780215681 Sip Home Systems - Mesa LLC Home Health 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 2020-01-29
1760945588 Wei Wei Student in an Organized Health Care Education/Training Program Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 2019-04-09
1942765623 Grace Hatfield Dietitian, Registered Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 2019-02-06
1861977027 Dawn Yvette Lima Occupational Therapy Assistant 3128 E Cheery Ln, Phoenix, AZ 85016 2018-10-03
1720583685 Kristin Pauline Hicklin Registered Nurse 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 2018-03-24
1588181622 Taness Eyre Billington Pharmacist 1625 E. Camelback Rd., Phoenix, AZ 85016 2017-08-29
1093239048 Emma Ross Psychologist 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 2017-08-01
1609396985 Mohammed Waseemuddin Student in an Organized Health Care Education/Training Program Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 2017-06-27
1144777632 Amanda Mazerall Occupational Therapist 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 2016-09-01
Find all providers in zip 85016

Taxonomy Information

Taxonomy Code 2080P0203X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Critical Care Medicine

Taxonomy Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306467154 Pediatrics Healthcare Associates Pediatrics 10645 N Tatum Blvd Ste C200-272, Phoenix, AZ 85028-3068 2020-05-04
1225051618 Obstetrics and Pediatrics Subspecialty Group of Kansas and Missouri Pa Pediatrics 4722 N 24th St Ste 150, Phoenix, AZ 85016-4860 2006-07-26
1255833158 Jennifer Hann Pediatrics 1919 E Thomas Rd, Phoenix, AZ 85016-7710 2018-03-06
1720408313 Shefali Aggarwal Pediatrics 1919 E Thomas Rd, Phoenix, AZ 85016-7710 2014-04-22
1821433467 Elizabeth Rose Diaz Pediatrics 1919 E Thomas Rd, Phoenix, AZ 85016-7710 2013-05-09
1700143674 Renee Devor Pediatrics 1919 E Thomas Rd, Phoenix, AZ 85016 2012-04-17
1124305578 Jeffrey H Hill Md Phc Pllc Pediatrics 1800 E Van Buren St, Phoenix, AZ 85006-3742 2011-11-14
1679779441 Heather Anne Hanley Pediatrics 1919 E Thomas Rd, Phoenix, AZ 85016-7710 2007-06-26
1427067792 Sandra Dawn-watanabe Buttram Pediatrics 1919 E Thomas Rd, Phoenix, AZ 85016-7710 2006-08-05
1053326637 Paul Patrick Tafoya Pediatrics 1919 E Thomas Rd, Phoenix, AZ 85016-7710 2006-07-30
Find all providers in PHOENIX

Competitor

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City PHOENIX
Zip Code 85016

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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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