| Dr David R Grigg, MD | |
| 3535 Southern Blvd, Kettering, OH 45429-1221 | |
| (937) 293-8228 | |
| (937) 293-8229 | 
| Full Name | Dr David R Grigg | 
|---|---|
| Gender | Male | 
| Speciality | Anesthesiology | 
| Location | 3535 Southern Blvd, Kettering, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1235118431 | NPI | - | NPPES | 
| 0743066 | Medicaid | OH | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207L00000X | Anesthesiology | 35058148 (Ohio) | Primary | 
| Entity Name | Sandusky Anesthesia Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1770907859 PECOS PAC ID: 3274895271 Enrollment ID: O20180402000752 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr David R Grigg, MD Po Box 932759, Cleveland, OH 44193-0015 Ph: (317) 614-9817 | Dr David R Grigg, MD 3535 Southern Blvd, Kettering, OH 45429-1221 Ph: (937) 293-8228 | 
| Dr. Kristie Bovee, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-298-4331 | |
| Dr. David L Tibbits, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3533 Southern Blvd, Ste 3400, Kettering, OH 45429 Phone: 937-293-8228 Fax: 937-293-8229 | |
| David M Brouhard, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-293-8228 Fax: 937-293-8229 | |
| Dr. Gustavo E Collins, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-293-8228 Fax: 937-293-8229 | |
| Bachar Hachwa, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-293-8228 Fax: 937-293-8229 | |
| Dr. Roy Walter Haines, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-293-8228 | |
| Dr. Diane F Imbrogno, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-293-8228 Fax: 937-293-8229 |