Dr David R Grigg, MD | |
3535 Southern Blvd, Kettering, OH 45429-1221 | |
(937) 293-8228 | |
(937) 293-8229 |
Full Name | Dr David R Grigg |
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Gender | Male |
Speciality | Anesthesiology |
Location | 3535 Southern Blvd, Kettering, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235118431 | NPI | - | NPPES |
0743066 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 35058148 (Ohio) | Primary |
Entity Name | Kettering Anesthesia Associates, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689627739 PECOS PAC ID: 0648170365 Enrollment ID: O20040109000871 |
Entity Name | Sandusky Anesthesia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770907859 PECOS PAC ID: 3274895271 Enrollment ID: O20180402000752 |
Mailing Address | Practice Location Address |
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Dr David R Grigg, MD Po Box 932759, Cleveland, OH 44193-0015 Ph: (317) 614-9817 | Dr David R Grigg, MD 3535 Southern Blvd, Kettering, OH 45429-1221 Ph: (937) 293-8228 |
Dr. Mark Alan Crawford, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-293-8228 Fax: 937-293-8229 | |
Dr. Kristie Bovee, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-298-4331 | |
Dr. David L Tibbits, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3533 Southern Blvd, Ste 3400, Kettering, OH 45429 Phone: 937-293-8228 Fax: 937-293-8229 | |
David M Brouhard, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-293-8228 Fax: 937-293-8229 | |
Dr. Paul R Colavincenzo, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-293-8228 Fax: 937-293-8228 | |
Dr. Gustavo E Collins, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-293-8228 Fax: 937-293-8229 | |
Bachar Hachwa, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-293-8228 Fax: 937-293-8229 |