Dr Timothy J Grissom, MD in Fort Wayne, IN

Dr Timothy J Grissom, MD is a Radiology - Diagnostic Radiology physician based in Fort Wayne, Indiana. Dr Timothy J Grissom is licensed to practice in Indiana (license number 01050244) and his current practice location is 2200 Randallia Dr, Fort Wayne, Indiana. He can be reached at his office (for appointments etc.) via phone at (260) 373-4731.

NPI number for Dr Timothy J Grissom is 1386695542 and his current mailing address is 3707 New Vision Dr, Fort Wayne, Indiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1386695542.

Contact Information

	Dr Timothy J Grissom, MD
	2200 Randallia Dr, Fort Wayne, IN 46805-4638
	(260) 373-4731
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Timothy J Grissom
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	2200 Randallia Dr, Fort Wayne, Indiana
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1386695542
Provider Enumeration Date: 05/13/2006
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Timothy J Grissom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386695542	NPI	-	NPPES
000000092616	Other	IN	ANTHEM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	01050244 (Indiana)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Timothy J Grissom is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Timothy J Grissom, MD 3707 New Vision Dr, Fort Wayne, IN 46845-1702 Ph: (260) 471-9466	Dr Timothy J Grissom, MD 2200 Randallia Dr, Fort Wayne, IN 46805-4638 Ph: (260) 373-4731

Reviews and Comments

Radiology Doctors in Fort Wayne, IN

Dr. Benjamin Jon Moreno, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3707 New Vision Dr Ste 110, Fort Wayne, IN 46845 Phone: 260-469-6602 Fax: 260-484-5919
Dr. Andre Byard Stovall, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5001 Us Highway 30 W Ste D, Fort Wayne, IN 46818 Phone: 260-432-1568 Fax: 260-432-4969
Dr. Christopher Edson Carrel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3707 New Vision Dr, Fort Wayne, IN 46845 Phone: 604-696-6022 Fax: 616-363-7290
Dr. Gregg R Mattison, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3707 New Vision Drive, Fort Wayne, IN 46895 Phone: 260-471-9466 Fax: 260-484-5919
Christopher M Wing, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3707 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-471-9466 Fax: 260-484-5919
Dr. Ahdy Messiha, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-432-1568 Fax: 260-432-4969
Vivek K. Sharma, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5001 Us Highway 30 W Ste D, Fort Wayne, IN 46818 Phone: 260-432-1568 Fax: 260-432-4969

Dr Timothy J Grissom, MD - Radiology in Fort Wayne, IN