Individual
DR. RUSSELL SCOTT GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1005 W SAINT MAARTENS DR STE A, SAINT JOSEPH, MO 64506-2989
(816) 364-2338
(816) 364-1003
Mailing address
1005 W SAINT MAARTENS DR STE A, SAINT JOSEPH, MO 64506-2989
(816) 364-2338
(816) 364-1003
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2006000709
MO
Other
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
Enumeration date
01/30/2006
Last updated
03/11/2026
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