Individual
MR. JOHN VANLOON GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1800 MULBERRY ST, M. C. 68-74, SCRANTON, PA 18510-6800
(570) 703-7245
(570) 703-7325
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA057958
PA
363AS0400X
Surgical Physician Assistant
MA057958
PA
363AS0400X
Surgical Physician Assistant
OA003665
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
466481
MEDICARE
PA
Enumeration date
09/21/2015
Last updated
08/31/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us