Georgina G Grimm (NPI# 1104367739, PAC ID# 5799055596) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1104367739 |
| PAC ID by PECOS | 5799055596 |
| Professional Enrollment ID | I20170727001553 |
| Full Name | Georgina G Grimm |
| Organization Legal Name | OPEN DOOR COMMUNITY HEALTH CENTERS |
| Address |
2200 Tydd St Eureka CA 95501-1284 |
| Phone Number | 7074411624 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9436067485 |
| Number of Group Practice Members | 77 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050006 | ST JOSEPH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 770 10th St, Arcata, CA 95521-6210 | 7078268610 | OPEN DOOR COMMUNITY HEALTH CENTERS |
| 2200 Tydd St, Eureka, CA 95501-1284 | 7074411624 | OPEN DOOR COMMUNITY HEALTH CENTERS |
| Organization Legal Name | OPEN DOOR COMMUNITY HEALTH CENTERS |
| Physicians | 96 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William O Jones | Physician Assistant | Open Door Community Health Centers | 38883 Hwy 299, Willow Creek, CA 95573 |
| Angelo J Alfano | Nurse Practitioner | Open Door Community Health Centers | 2200 Tydd St, Eureka, CA 95501-1284 |
| Evan M Chalfin | Nurse Practitioner | Open Door Community Health Centers | 638 Main St, Ferndale, CA 95536 |
| Diana E Moser | Nurse Practitioner | Open Door Community Health Centers | 3306 Renner Dr, Fortuna, CA 95540-3120 |
| Daniel Richard Lefler | Physician Assistant | Open Door Community Health Centers | 550 E Washington Blvd, Crescent City, CA 95531-8160 |
| Caroline A Lowry | Physician Assistant | Open Door Community Health Centers | 785 18th St, Arcata, CA 95521-5683 |
| Nathan Copple | Family Medicine | Open Door Community Health Centers | 1644 Central Ave, Mckinleyville, CA 95519-4342 |
| Cindy S Norvell | Family Medicine | Open Door Community Health Centers | 770 10th St, Arcata, CA 95521-6210 |
| David C Villasenor | Psychiatry | Open Door Community Health Centers | 2426 Buhne St, Eureka, CA 95501-3207 |
| Angela N Murray | Physician Assistant | Open Door Community Health Centers | 2200 Tydd St, Eureka, CA 95501-1284 |
| Street Address |
2200 TYDD ST |
| City | EUREKA |
| State | CA |
| Zip | 95501-1284 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angelo J Alfano | Nurse Practitioner | Open Door Community Health Centers | 2200 Tydd St, Eureka, CA 95501-1284 |
| Angela N Murray | Physician Assistant | Open Door Community Health Centers | 2200 Tydd St, Eureka, CA 95501-1284 |
| Sandra Yvonne Lee | Nurse Practitioner | Open Door Community Health Centers | 2200 Tydd St, Eureka, CA 95501-1284 |
| Abigail B Krause | Physician Assistant | Open Door Community Health Centers | 2200 Tydd St, Eureka, CA 95501-1284 |
| Andrea B Brubaker | Nurse Practitioner | Open Door Community Health Centers | 2200 Tydd St, Eureka, CA 95501-1284 |
| Patricia L Carter | Physician Assistant | Open Door Community Health Centers | 2200 Tydd St, Eureka, CA 95501-1284 |
| Laura Lyons | Nurse Practitioner | Open Door Community Health Centers | 2200 Tydd St, Eureka, CA 95501-1284 |
| Christopher E West | Nurse Practitioner | Open Door Community Health Centers | 2200 Tydd St, Eureka, CA 95501-1284 |
| Lara M Celli | Nurse Practitioner | Open Door Community Health Centers | 2200 Tydd St, Eureka, CA 95501-1284 |
| Eva M Fried | Family Medicine | Open Door Community Health Centers | 2200 Tydd St, Eureka, CA 95501-1284 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa Michelle Okeefe | Clinical Social Worker | 10 W 7th St, Eureka, CA 95501-0299 | |
| Gerald M Drucker | Psychologist, Clinical | 350 E St, Suite 404, Eureka, CA 95501-0352 | |
| Andrew S Greer | Clinical Psychologist | 350 E St, Suite 202, Eureka, CA 95501-0378 | |
| Laurie Ann Monroe | Clinical Social Worker | 350 E Street, Suite 408, Eureka, CA 95501-0379 | |
| Virginia A Hassrick | Clinical Social Worker | 517 3rd St, Suite 35, Eureka, CA 95501-0460 | |
| Janine Renee Davis | Clinical Social Worker | 517 3rd St, Suite 39, Eureka, CA 95501-0460 | |
| Craig A Kraffert | Dermatology | Redding Dermatology Medical Group, Inc. | 525 2nd St, Suite 219, Eureka, CA 95501-0488 |
| James B Pratt | Physician Assistant | Redding Dermatology Medical Group, Inc. | 525 2nd St, Suite 219, Eureka, CA 95501-0488 |
| Donna L Childs | Occupational Therapy | 525 2nd St, Suite 103, Eureka, CA 95501-0488 | |
| Robert E Soper | Psychiatry | 104 W St, Eureka, CA 95501-0834 | |
| Find all physicians in zip 95501 | |||
| City | EUREKA |
| Zip Code | 95501 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | EUREKA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Georgina G Grimm.
| 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.