Active NPI
Kenneth a Grinspun, M.D. P.a.
- Specialist
- Tupelo, MS
National Provider Identifier
1063536126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 16020
- Legal business name
- KENNETH A GRINSPUN, M.D. P.A.
- Practice address
- 1464 Medical Park Cir
Tupelo, MS 38801-6595 - Phone
- (662) 844-8699
- Fax
- (662) 844-7087
- NPI assigned
- Mar 16, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kenneth A Grinspun, M.D.
- Title
- Orthopaedic Surgeron
- Phone
- (662) 844-8699
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 16020 | MS | Primary |
Addresses
Primary practice location
1464 Medical Park Cir
Tupelo, MS 38801-6595
Mailing address
PO Box 1001
Tupelo, MS 38802-1001
Phone (662) 844-8699
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9016045 | Medicaid | MS |
National Provider Directory
National Provider DirectoryLocations
1464 Medical Park Cir
Tupelo, MS 38801
Phone (662) 844-8699
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Cookeville, TN
- NPI 1902804198
-
- Orthopaedic Surgery Physician
- Tupelo, MS
- NPI 1679571491
-
- Orthopaedic Surgery Physician
- Tupelo, MS
- NPI 1457350282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1063536126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1001",
"city": "TUPELO",
"state": "MS",
"postal_code": "388021001",
"telephone_number": "662-844-8699",
"fax_number": "662-844-7087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1464 MEDICAL PARK CIR",
"city": "TUPELO",
"state": "MS",
"postal_code": "388016595",
"telephone_number": "662-844-8699",
"fax_number": "662-844-7087"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENNETH A GRINSPUN, M.D. P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GRINSPUN",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "ORTHOPAEDIC SURGERON",
"authorized_official_telephone_number": "662-844-8699",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MS",
"license": "16020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9016045",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tupelo, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.