Amy a Griswold M D P a

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

ME67865 Issued in FL

Legal business name

AMY A GRISWOLD M D P A

Practice address

842 62ND Street Cir E Ste 104
Bradenton, FL 34208-6212

Phone

(941) 748-7246

Fax

(941) 748-7244

NPI assigned

Sep 14, 2007

Last updated

Jan 28, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Amy A Griswold, MDNPI 1669580171

Title

President

Phone

(941) 748-7246

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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.

• Amy A Griswold, MD

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1669580171
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296172800000",
    "number": "1205022076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 8TH AVE W",
            "address_2": "#311",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342213810",
            "telephone_number": "941-748-7246",
            "fax_number": "941-748-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 62ND STREET CIR E STE 104",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342086212",
            "telephone_number": "941-748-7246",
            "fax_number": "941-748-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY A GRISWOLD M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2011-01-28",
        "status": "A",
        "authorized_official_last_name": "GRISWOLD",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-748-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "FL",
            "license": "ME67865",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME67865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.