Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Myranda Noel Grismore, MD

Individual provider Pediatrics Physician · NPI 1568149961

Myranda Noel Grismore, MD is a Pediatric Medicine in Columbia, Missouri. Qualified in 2023, 3 years ago. Licensed in Missouri.

Years since qualifying
3
Licensed in
MO
In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1020 Hitt St
Columbia, MO 65212-0001
Phone: (573) 882-6921
Fax: (573) 882-1154
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 2026030989 (MO)

Record details

NPI number1568149961
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 28, 2023
Last updated in NPPESJuly 6, 2026
Certification dateJuly 6, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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