Organization Active NPI

David F Grider PA

Doing business as Big Pine Medical

  • General Practice Physician
  • Big Pine Key, FL
National Provider Identifier
1033375530
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
OS0004048 Issued in FL
Legal business name
DAVID F GRIDER PA
Doing business as
Big Pine Medical
Practice address
29980 Overseas Hwy
Big Pine Key, FL 33043-3362
Phone
(305) 872-3321
Fax
(305) 422-9579
NPI assigned
Aug 4, 2008
Last updated
Jan 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Thomas Iglesias
Title
Practice Manager
Phone
(305) 872-3321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X OS0004048 FL Primary

Addresses

Primary practice location

29980 Overseas Hwy
Big Pine Key, FL 33043-3362

Mailing address

PO Box 536
Big Pine Key, FL 33043-0536
Phone (305) 872-3321

Other names 2

  • Big Pine Medical Doing business as
  • Big Pine Medical & Minor Emergency Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110303000199 FL Part B Supplier - Clinic/Group Practice 4880714583 Receives reassigned benefits from 3 practitioners
Practice locations: Big Pine Key, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0278506Big Pine Medical & Minor Emergency Ctr29980 Overseas Hwy, Big Pine Key, FL 33043Certificate of waiverAug 20, 2026

National Provider Directory

National Provider Directory

Locations

29960 Overseas Hwy
Big Pine Key, FL 33043
Phone (305) 872-3321

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1033375530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 536",
            "city": "BIG PINE KEY",
            "state": "FL",
            "postal_code": "330430536",
            "telephone_number": "305-872-3321",
            "fax_number": "305-422-9579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29980 OVERSEAS HWY",
            "city": "BIG PINE KEY",
            "state": "FL",
            "postal_code": "330433362",
            "telephone_number": "305-872-3321",
            "fax_number": "305-422-9579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID F GRIDER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-04",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "IGLESIAS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "305-872-3321"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "OS0004048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Big Pine Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Big Pine Medical & Minor Emergency",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Big Pine Key, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.