Tyler D Grissom (NPI# 1700168804, PAC ID# 2163790833) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1700168804 |
| PAC ID by PECOS | 2163790833 |
| Professional Enrollment ID | I20170621002049 |
| Full Name | Tyler D Grissom |
| Organization Legal Name | PEACEHEALTH MEDICAL GROUP |
| Address |
770 E 11 Ave Eugene OR 97401-3746 |
| Phone Number | 4582057100 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 9032023270 |
| Number of Group Practice Members | 167 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4010 Aerial Way, Eugene, OR 97402-9757 | PEACEHEALTH MEDICAL GROUP | |
| 770 E 11 Ave, Eugene, OR 97401-3746 | 4582057100 | PEACEHEALTH MEDICAL GROUP |
| Organization Legal Name | PEACEHEALTH MEDICAL GROUP |
| Physicians | 197 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lindsey M Wilson | Nurse Practitioner | Peacehealth Medical Group | 3377 Riverbend Dr, Springfield, OR 97477-8800 |
| Sarah E Clark | Clinical Social Worker | Peacehealth Medical Group | 770 E 11 Ave, Eugene, OR 97401-3746 |
| Titus B Kosgei | Nurse Practitioner | Peacehealth Medical Group | 2484 River Rd, Eugene, OR 97404-2042 |
| Anna R Snyder | Certified Nurse Midwife | Peacehealth Medical Group | 353 Deadmond Ferry Rd, Springfield, OR 97477-9406 |
| Raymond C Ray | Addiction Medicine | Peacehealth Medical Group | 1200 Hilyard St, Eugene, OR 97401-8122 |
| Mailynn A Mitchell-sanchez | Family Medicine | Peacehealth Medical Group | 860 Beltline Rd, Springfield, OR 97477-1091 |
| Cecilia N Jacobson | Registered Dietitian Or Nutrition Professional | Peacehealth Medical Group | 3377 Riverband Dr, Springfield, OR 97477-8800 |
| Alan Garcin | Nurse Practitioner | Peacehealth Medical Group | 3321 W 11th Ave, Eugene, OR 97402-3040 |
| James Wiley Dickerson Iii | Psychiatry | Peacehealth Medical Group | 1255 Hilyard St, Eugene, OR 97401-3718 |
| Julia N.e. Sunkomat | Internal Medicine | Peacehealth Medical Group | 3299 Hilyard St, Eugene, OR 97405-3721 |
| Street Address |
770 E 11 AVE |
| City | EUGENE |
| State | OR |
| Zip | 97401-3746 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah E Clark | Clinical Social Worker | Peacehealth Medical Group | 770 E 11 Ave, Eugene, OR 97401-3746 |
| Carly L Moe | Clinical Social Worker | Peacehealth Medical Group | 770 E 11 Ave, Eugene, OR 97401-3746 |
| Nancy G Miller | Nurse Practitioner | Peacehealth Medical Group | 770 E 11 Ave, Eugene, OR 97401-3746 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott A Cherne | Ophthalmology | Pacific Clearvision Institute, PC | 1125 Darlene Ln, Suite 100, Eugene, OR 97401-1601 |
| Anthony P Grillo | Ophthalmology | Pacific Clearvision Institute, PC | 1125 Darlene Ln, Suite 100, Eugene, OR 97401-1601 |
| Omer Gal | Ophthalmology | Pacific Clearvision Institute, PC | 1125 Darlene Ln, Suite 100, Eugene, OR 97401-1601 |
| Claude Brist | Optometry | Pacific Clearvision Institute, PC | 1125 Darlene Ln, Suite 100, Eugene, OR 97401-1601 |
| Bradley J Lorenzen | Optometry | Pacific Clearvision Institute, PC | 1125 Darlene Ln, Suite 100, Eugene, OR 97401-1601 |
| Robin E Bautista | Optometry | Pacific Clearvision Institute, PC | 1125 Darlene Ln, Suite 100, Eugene, OR 97401-1601 |
| John J Deguire | Ophthalmology | Scott A Cherne, Md, PC | 1125 Darlene Ln, Eugene, OR 97401-1601 |
| Bruce R Manchester | Certified Registered Nurse Anesthetist | Northwest Anesthesia Physicians PC | 1125 Darlene Ln, Eugene, OR 97401-1601 |
| Jill S Ritchie | Occupational Therapy | Premere Rehab LLC | 1282 Goodpasture Island Rd, Eugene, OR 97401-1755 |
| Brittany Herson | Occupational Therapy | Premere Rehab LLC | 1282 Goodpasture Island Rd, Eugene, OR 97401-1755 |
| Find all physicians in zip 97401 | |||
| City | EUGENE |
| Zip Code | 97401 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | EUGENE + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Tyler D Grissom.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.