Dr. Kathleen T. Grimm
Internist Pediatrician Hospice and Palliative Medicine Pediatric Emergency Doctor
3560 N Buffalo St
Orchard Park
, New York 14127-1934
Dr. Kathleen T. Grimm
Internist Pediatrician Hospice and Palliative Medicine Pediatric Emergency Doctor
3560 N Buffalo St
Orchard Park
, New York 14127-1934
(716) 662-8574
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About
Features
Specialties
- Internist
- Hospice and Palliative Medicine
- Pediatrician
- Pediatric Emergency Doctor
Languages spoken
- English
Location
First Address
- Dr. Kathleen T. Grimm
- 3560 N Buffalo St
- Orchard Park, NY
- Zip : 14127-1934
- Fax : (716) 662-8574
- Phone : (716) 662-8510
Second Address
- Dr. Kathleen T. Grimm
- 3560 N Buffalo St
- Orchard Park, NY
- Zip : 14127-1934
- Fax : (716) 662-8574
- Phone : (716) 662-8510
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 198122 | NY |
| N | 111NI0900X | Internist | 198122 | NY |
| Y | 207RH0002X | Hospice and Palliative Medicine | 198122 | NY |
| N | 208000000X | Pediatrician | 198122 | NY |
| N | 2080P0204X | Pediatric Emergency Doctor | 198122 | NY |
National Provider Identifier
| NPI | 1396709499 |
|---|---|
| Provider Name | Dr. Kathleen T. Grimm |
| First Address | Orchard Park, NY 14127-1934 |
| Second Address | Orchard Park, NY 14127-1934 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/04/2006 |
| Last Update Date | 07/01/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00010298401 | UNIVERA (01) | NY |
| 00010298402 | UNIVERA (01) | |
| 000524676001 | BC/BS OF WNY (01) | NY |
| 000524676003 | BC/BS (01) | |
| 000524676004 | BC/BS (01) | |
| 000524676005 | BC/BS (01) | |
| 01744283 | (05) | NY |
| 0409065 | IHA (01) | |
| 05092300013 | FIDELIS (01) | |
| 051213000027 | FIDELIS (01) | |
| 080515000099 | FIDELIS (01) | |
| G48705 | (02) | |
| G48705 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.