RAYMOND F. GRENFELL, III., M.D., PLLC (NPI# 1780902155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780902155 |
| Entity Type | Organization |
| Organization Name | RAYMOND F. GRENFELL, III., M.D., PLLC |
| Practice Address |
971 Lakeland Drive Suite 450 Jackson MS 39216 |
| Mailing Address |
971 Lakeland Dr Suite 450 Jackson MS 39216-4643 |
| Practice Telephone | 6019485158 |
| Practice Fax Number | 6019496058 |
| Mailing Telephone | 6019485158 |
| Mailing Fax Number | 6019496058 |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2010-05-11 |
| Authorized Official Name | RAYMOND F GRENFELL III (OWNER) |
| Authorized Official Telephone | 6019485158 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
21031 | MS | Allopathic & Osteopathic Physicians |
| Street Address |
971 LAKELAND DRIVE SUITE 450 |
| City | JACKSON |
| State | MS |
| Zip Code | 39216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477563104 | Amanda Reagan Schiefer | Internal Medicine | 971 Lakeland Drive, Jackson, MS 39126 | 2006-08-08 |
| 1326562968 | Stephanie Nichole Love | Nurse Practitioner | 971 Lakeland Drive, Suite 401 East Tower, Jackson, MS 39216 | 2017-07-26 |
| 1295117505 | Anna Marie Ketchum | Nurse Practitioner | 971 Lakeland Drive, Ste 1052, Jackson, MS 39216 | 2015-06-23 |
| 1770987638 | Jackson Neurocare, Pllc | Psychiatry & Neurology | 971 Lakeland Drive, Suite 557, West Tower, Jackson, MS 39216-4607 | 2014-10-21 |
| 1023323029 | Vanessa L. Sandifer, M.d., Pllc | Internal Medicine | 971 Lakeland Drive, Suite 450, Jackson, MS 39216-0450 | 2010-08-13 |
| 1346370921 | Muscle and Nerve Pa | Psychiatry & Neurology | 971 Lakeland Drive, Suite 560, Jackson, MS 39216 | 2007-03-06 |
| 1700911096 | Donald L Seago | Dentist | 971 Lakeland Drive, Suite 225, Jackson, MS 39216-4643 | 2007-02-23 |
| 1316089634 | David E Seago | Dentist | 971 Lakeland Drive, Suite 225, Jackson, MS 39216-4643 | 2007-02-13 |
| 1427190750 | Stephen R Gandy | Dentist | 971 Lakeland Drive, Suite 225, Jackson, MS 39216-4643 | 2007-02-13 |
| 1285781153 | Berthrone Lacalvin Mock-muhammad | Internal Medicine | 971 Lakeland Drive, Jackson, Jackson, MS 39216-4608 | 2007-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861011553 | Ashley Melancon Prewitt | Registered Nurse | St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 | 2020-04-13 |
| 1194353391 | Brianna Arrington | Student in an Organized Health Care Education/Training Program | Med/ Peds, 2500 N. State St., Jackson, MS 39216 | 2020-04-01 |
| 1720616485 | Roshina Khalid Khan | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 | 2020-03-30 |
| 1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
| 1396305553 | Abhishek Chhabra | Student in an Organized Health Care Education/Training Program | Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 | 2019-06-19 |
| 1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
| 1346807773 | Shukundala C Smith | Behavior Technician | New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 | 2019-05-21 |
| 1063901098 | G Eli Howell Md Pllc | Plastic Surgery | 971 Lakeland Dr Ste 225, Jackson, MS 39216 | 2018-05-04 |
| 1588168132 | Caleb Zumbro | Student in an Organized Health Care Education/Training Program | Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 | 2018-03-20 |
| 1639677230 | Walgreen Co | Pharmacy | 971 Lakeland Dr Ste 101, Jackson, MS 39216 | 2018-01-29 |
| Find all providers in zip 39216 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740549864 | Soemiwati Weidris Holland | Internal Medicine | 27 S Cooks Bridge Rd Ste 2-5, Jackson, NJ 08527-2524 | 2012-05-09 |
| 1275543175 | Clemente V. Zulueta, Jr., Md, Pllc | Internal Medicine | 95 Jackson Hts, Ste 201, Jackson, KY 41339-6500 | 2006-08-09 |
| 1477563104 | Amanda Reagan Schiefer | Internal Medicine | 971 Lakeland Drive, Jackson, MS 39126 | 2006-08-08 |
| 1790222651 | W.a. Foote Memorial Hospital, Inc | Internal Medicine | 205 N. East Ave, Jackson, MI 49201 | 2017-01-30 |
| 1134671787 | Jackson Thyroid & Endocrine Clinic Pllc | Internal Medicine | 971 Lakeland Dr, Suite 353, Jackson, MS 39216-4643 | 2016-10-31 |
| 1154733392 | Jamie L Brewer | Internal Medicine | 971 Lakeland Dr, Suite 450, Jackson, MS 39216-4643 | 2014-05-22 |
| 1841601861 | Adrienne Webb Maier | Internal Medicine | 1200 N State St Ste 500, Jackson, MS 39202-2027 | 2014-05-13 |
| 1033494372 | Leap One Enterprise Pllc | Internal Medicine | 5160 Galaxie Dr, Jackson, MS 39206-4308 | 2011-10-19 |
| 1356638845 | Christina C. Glover | Internal Medicine | 1200 N State St, Suite 500, Jackson, MS 39202-2000 | 2011-07-05 |
| 1023323029 | Vanessa L. Sandifer, M.d., Pllc | Internal Medicine | 971 Lakeland Drive, Suite 450, Jackson, MS 39216-0450 | 2010-08-13 |
| Find all providers in JACKSON | ||||
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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.