Dr Timothy J Grissom, MD - Radiology in Fort Wayne, IN

Dr Timothy J Grissom, MD is a Radiology - Diagnostic Radiology physician based in Fort Wayne, Indiana. Dr Timothy J Grissom is licensed to practice in Indiana (license number 01050244) and his current practice location is 2200 Randallia Dr, Fort Wayne, Indiana. He can be reached at his office (for appointments etc.) via phone at (260) 373-4731.

NPI number for Dr Timothy J Grissom is 1386695542 and his current mailing address is 3707 New Vision Dr, Fort Wayne, Indiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1386695542.

Contact Information

Dr Timothy J Grissom, MD
2200 Randallia Dr,
Fort Wayne, IN 46805-4638
(260) 373-4731
Not Available



Physician's Profile

Full NameDr Timothy J Grissom
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location2200 Randallia Dr, Fort Wayne, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1386695542
  • Provider Enumeration Date: 05/13/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Timothy J Grissom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386695542NPI-NPPES
000000092616OtherINANTHEM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 01050244 (Indiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Timothy J Grissom is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Timothy J Grissom, MD
3707 New Vision Dr,
Fort Wayne, IN 46845-1702

Ph: (260) 471-9466
Dr Timothy J Grissom, MD
2200 Randallia Dr,
Fort Wayne, IN 46805-4638

Ph: (260) 373-4731

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› Verified 4 days ago


Radiology Doctors in Fort Wayne, IN

Dr. Benjamin Jon Moreno, MD, PHD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3707 New Vision Dr Ste 110, Fort Wayne, IN 46845
Phone: 260-469-6602    Fax: 260-484-5919
Dr. Andre Byard Stovall, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 5001 Us Highway 30 W Ste D, Fort Wayne, IN 46818
Phone: 260-432-1568    Fax: 260-432-4969
Dr. Christopher Edson Carrel, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3707 New Vision Dr, Fort Wayne, IN 46845
Phone: 604-696-6022    Fax: 616-363-7290
Dr. Gregg R Mattison, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 3707 New Vision Drive, Fort Wayne, IN 46895
Phone: 260-471-9466    Fax: 260-484-5919
Christopher M Wing, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3707 New Vision Dr, Fort Wayne, IN 46845
Phone: 260-471-9466    Fax: 260-484-5919
Dr. Ahdy Messiha, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804
Phone: 260-432-1568    Fax: 260-432-4969
Vivek K. Sharma, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 5001 Us Highway 30 W Ste D, Fort Wayne, IN 46818
Phone: 260-432-1568    Fax: 260-432-4969

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