LESLIE E. GRISSOM MD – NPI #1225120108
Radiology
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.
LESLIE GRISSOM is a radiologist located in WILMINGTON, DE. NPPES has assigned the NPI number 1225120108 to LESLIE GRISSOM on September 29, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085P0229X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Pediatric Radiology
The NPI profile was previously updated about 13 years ago on Feb 04, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LESLIE GRISSOM below.
NPI Profile for
LESLIE E. GRISSOM
(more than 19 years ago)
WILMINGTON, DE 19803-3607 Phone: (302) 651-4000 Fax: (302) 651-4945
PROVIDER ENROLLMENT DEPT
ROCKLAND, DE 19732-0191 Phone: (302) 651-6212 Fax: (302) 651-4945
Identifiers for LESLIE GRISSOM
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
See identifiers
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | CA | XPY196074 | |
| MEDICAID | IA | 510123 | |
| MEDICAID | ID | 806321200 | |
| MEDICAID | KY | 64195951 | |
| MEDICAID | LA | 1165522 | |
| MEDICAID | MD | 7709013 | |
| MEDICAID | NJ | 5166608 | |
| MEDICAID | NY | 1437681 | |
| MEDICAID | PA | 1197564 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 2085P0229X - Radiology / Pediatric Radiology (Primary) |
DE | C10002480 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.