BILLY GRIMES JR. (NPI# 1720391923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720391923 |
| Entity Type | Individual |
| Full Name | BILLY GRIMES JR. |
| Credential | LADC |
| Practice Address |
313 Gawf Ln Muskogee OK 74403-6109 |
| Practice Telephone | 9182890550 |
| Practice Fax Number | 9182890551 |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2010-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
313 GAWF LN |
| City | MUSKOGEE |
| State | OK |
| Zip Code | 74403-6109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861945602 | Mccall Dental Studio | Dentist | 2214 Chandler Rd, Muskogee, OK 74403 | 2016-07-28 |
| 1386047256 | Dr. Penny B. Smythe, Inc., PC | Optometrist | 1157 N. York St., Muskogee, OK 74403 | 2014-10-06 |
| 1841563210 | Peggy Hanson | Social Worker | 503 E. Cincinnati Avenue, Muskogee, OK 74403 | 2012-02-16 |
| 1467736736 | Crystal S Richardson | Behavioral Analyst | 502 E Cincinnati Ave., Muskogee, OK 74403 | 2011-10-05 |
| 1114109816 | Jennifer Irene Newton | Dietitian, Registered | 1001 S. 41st Street East, Muskogee, OK 74403 | 2007-12-04 |
| 1922290899 | Casey Farmer | Counselor | 501 Fredonia, Muskogee, OK 74403 | 2007-08-15 |
| 1609068501 | Brenda Lawson | Counselor | 501 Fredonia St, Muskogee, OK 74403 | 2007-08-14 |
| 1689888661 | Christy Janet Coggins | Physical Therapy Assistant | 3310 Chandler Road, Muskogee, OK 74403 | 2007-05-09 |
| 1376765412 | Magnolia Gardens | Assisted Living Facility | 3211 Chandler Road, Muskogee, OK 74403 | 2007-05-02 |
| 1841411972 | Country Gardens Assisted Living, LLC | Assisted Living Facility | 611 S. Country Club Road, Muskogee, OK 74403 | 2007-05-02 |
| Find all providers in zip 74403 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447676770 | Ruby Johns | Counselor | 403 N 24th, Muskogee, OK 74401 | 2014-03-11 |
| 1598947046 | Renae Tracie | Counselor | 1309 S. 37th St., Muskogee, OK 74401-7908 | 2007-11-27 |
| 1922290899 | Casey Farmer | Counselor | 501 Fredonia, Muskogee, OK 74403 | 2007-08-15 |
| 1609068501 | Brenda Lawson | Counselor | 501 Fredonia St, Muskogee, OK 74403 | 2007-08-14 |
| 1154513059 | Nancy Seabolt | Counselor | 2310 W. Broadway, Muskogee, OK 74401 | 2007-08-14 |
| 1497947303 | Ann Lewis | Counselor | 2310 W. Broadway St, Muskogee, OK 74401 | 2007-08-14 |
| 1871702167 | Kimberlee Janell Thomas | Counselor | 1162 Walnut St, Muskogee, OK 74403-2555 | 2007-05-22 |
| 1396960878 | Shelley A. Hoffman-green | Counselor | 2603 Rutherford St, Muskogee, OK 74403-7639 | 2007-04-17 |
| 1386774016 | Russell Wayne Bingham | Counselor | 4009 Eufala St, Muskogee, OK 74403 | 2007-03-06 |
| 1073148094 | Russell Rowland | Counselor | 4009 Eufaula Ave, Muskogee, OK 74403-1132 | 2020-03-10 |
| Find all providers in MUSKOGEE | ||||
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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.