# DR. RUSSELL SCOTT GRIMES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1588635361
- **Gender:** Man
- **Credential:** D.P.M.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 2006000709 | MO | Yes |

## Other

- **Enumeration date:** 01/30/2006
- **Last updated:** 03/11/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 004030044 | PTAN | KS |
| 05 | — | 10029888302 | — | NE |
| 01 | — | 1588635361 | BLUE CROSS AND BLUE SHIELD OF KANSAS | KS |
| 05 | — | 30005286470001 | — | KS |