Provider Demographics
NPI:1861444614
Name:GRIEVES, ANNE CATHARINE (DO)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:CATHARINE
Last Name:GRIEVES
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:ANNE
Other - Middle Name:CATHARINE
Other - Last Name:GRIEVES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:1223 S GEAR AVE
Mailing Address - Street 2:SUITE 208
Mailing Address - City:WEST BURLINGTON
Mailing Address - State:IA
Mailing Address - Zip Code:52655-1682
Mailing Address - Country:US
Mailing Address - Phone:319-768-2750
Mailing Address - Fax:319-768-2755
Practice Address - Street 1:1223 S GEAR AVE
Practice Address - Street 2:SUITE 208
Practice Address - City:WEST BURLINGTON
Practice Address - State:IA
Practice Address - Zip Code:52655-1682
Practice Address - Country:US
Practice Address - Phone:319-768-2750
Practice Address - Fax:319-768-2755
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2016-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE386208D00000X
OH34.009979207V00000X
IA04775207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3082926Medicaid
OH0429560004Medicare NSC
OHGR4301531Medicare PIN