TAYLORE MARIE GRIMM PA-C NPI 1598276057

NPI Information

NPI: 1598276057
Provider Name: TAYLORE MARIE GRIMM, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: CHATTANOOGA HAMILTON COUNTY HOSPITAL AUTHORITY

PECOS Registration: Yes

Address:
979 E 3RD ST STE C-520
CHATTANOOGA, TN
ZIP 37403
Phone: (423) 778-5661
Get Directions

Taylore Marie Grimm, PA-C is a surgical physician assistant in Chattanooga, TN with 7 years of experience. Taylore Marie Grimm, PA-C NPI is 1598276057. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2017

The provider's business location address is:

979 E 3RD ST STE C-520
CHATTANOOGA, TN
ZIP 37403-136
Phone: (423) 778-5661
Fax: (423) 778-5664

The NPI 1598276057 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/23/2017 and was last updated on 6/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)		3397	TENNESSEE	No
2	363AS0400X	Physician Assistant	Surgical	3397	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3397	OTHER	TENNESSEE	STATE LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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