Individual
RUTH ANNE GRISSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
36578
WV
207L00000X
Anesthesiology Physician
MD30321
ME
207L00000X
Anesthesiology Physician
Primary
ME102001
FL
207LP3000X
Pediatric Anesthesiology Physician
36578
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000328600
—
FL
05
—
103990
—
AL
05
—
131403
—
AL
05
—
1801057658
—
WV
01
—
592-03468
BLUE CROSS BLUE SHIELD
AL
01
—
592-15483
BLUE CROSS BLUE SHIELD
AL
01
—
61672
BLUE CROSS BLUE SHIELD
FL
01
—
P00667073
MEDICARE RAILROAD
—
Enumeration date
06/24/2008
Last updated
06/26/2026
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