DR. LESLIE E. GRISSOM MD
NPI 1225120108
Radiology - Pediatric Radiology in Wilmington, DE

Active since September 29, 2006
1600 ROCKLAND RD, WILMINGTON, DE 19803(302) 651-4000(302) 651-4945 Get Directions Write a Review

NPPES record last updated: February 4, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Leslie E. Grissom Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LESLIE E. GRISSOM MD (NPI 1225120108) is an individual pediatric radiology provider in Wilmington, Delaware, licensed in Delaware (C10002480) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1225120108
Entity TypeIndividualFemale
Primary Taxonomy2085P0229X
Provider Legal NameDR. LESLIE E. GRISSOMCredential: MD
Location Address1600 ROCKLAND RDWilmington, DE 19803-3607
Mailing AddressPo Box 191, Provider Enrollment DeptRockland, DE 19732-0191 · (302) 651-6212 · Fax (302) 651-4945
Fax(302) 651-4945
Sole ProprietorNo
Enumeration DateSeptember 29, 2006
Last NPPES UpdateFebruary 4, 2013
NPI 1225120108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Pediatric RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085P0229X
License Licensed in DE · C10002480
Definition
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.
1600 ROCKLAND RD, Wilmington, DE 19803

Other Identifiers 11

Medicaid64195951KY
Medicaid806321200ID
Medicare PIN000858T34
Medicare UPINF04112
Medicaid7709013MD
Medicaid510123IA
Medicaid1165522LA
Medicaid5166608NJ
Medicaid1197564PA
Medicaid1437681NY
MedicaidXPY196074CA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics (Neonatal-Perinatal Medicine)
1600 ROCKLAND RD
WILMINGTON, DE 19803
Obstetrics & Gynecology
1600 ROCKLAND RD
WILMINGTON, DE 19803
Speech-Language Pathologist
1600 ROCKLAND RD
WILMINGTON, DE 19803
Pediatrics (Pediatric Infectious Diseases)
1600 ROCKLAND RD
WILMINGTON, DE 19803
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1600 ROCKLAND RD
WILMINGTON, DE 19803
Radiology (Pediatric Radiology)
1600 ROCKLAND RD
WILMINGTON, DE 19803
Psychologist (Clinical Child & Adolescent)
1600 ROCKLAND RD
WILMINGTON, DE 19803
Nurse Practitioner
1600 ROCKLAND RD
WILMINGTON, DE 19803

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leslie Grissom's NPI number?

The NPI number for Leslie Grissom is 1225120108. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Where is Leslie Grissom located?

Leslie Grissom practices at 1600 Rockland Rd, Wilmington, DE 19803. The listed phone number is (302) 651-4000.

What is Leslie Grissom's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Pediatric Radiology, with taxonomy code 2085P0229X.

When was this NPI record last updated?

The NPPES record for Leslie Grissom was last updated on February 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.