MARK W GRIMM M.D.
NPI 1942271689
Otolaryngology in Fenton, MO

Active since January 31, 2006
1011 BOWLES AVE, SUITE 405, FENTON, MO 63026(314) 965-9184 Get Directions Write a Review

NPPES record last updated: May 19, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark W Grimm M.d. NPPES

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

MARK W GRIMM M.D. (NPI 1942271689) is an individual otolaryngology provider in Fenton, Missouri, licensed in Missouri (2001018662) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1942271689
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameMARK W GRIMMCredential: M.D.
Location Address1011 BOWLES AVE, SUITE 405Fenton, MO 63026-2395
Mailing AddressPo Box 790379Saint Louis, MO 63179-0379 · (314) 965-9184
Sole ProprietorNo
Enumeration DateJanuary 31, 2006
Last NPPES UpdateMay 19, 2011
NPI 1942271689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in MO · 2001018662
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1011 BOWLES AVE, Fenton, MO 63026

Other Identifiers 2

Medicare PIN011013883MO
Medicare UPING86768MO

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.

Obstetrics & Gynecology
1011 BOWLES AVE, SUITE 215
FENTON, MO 63026
Durable Medical Equipment & Medical Supplies
1011 BOWLES AVE, SUITE 123
FENTON, MO 63026
Nurse Practitioner (Family)
1011 BOWLES AVE, SUITE 300
FENTON, MO 63026
Internal Medicine
1011 BOWLES AVE, SUITE 300
FENTON, MO 63026
Nurse Practitioner (Family)
1011 BOWLES AVE
FENTON, MO 63026
Nurse Practitioner (Family)
1011 BOWLES AVE, SUITE G10
FENTON, MO 63026
Orthopaedic Surgery
1011 BOWLES AVE, SUITE 400
FENTON, MO 63026
Nurse Practitioner (Women's Health)
1011 BOWLES AVE
FENTON, MO 63026

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 Mark Grimm's NPI number?

The NPI number for Mark Grimm is 1942271689. It was assigned to this individual provider in the NPPES registry on January 31, 2006.

Where is Mark Grimm located?

Mark Grimm practices at 1011 Bowles Ave Suite 405, Fenton, MO 63026. The listed phone number is (314) 965-9184.

What is Mark Grimm's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

When was this NPI record last updated?

The NPPES record for Mark Grimm was last updated on May 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.