Organization Active NPI

Erick a Grana M.D. PA

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Tampa, FL
National Provider Identifier
1205095254
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
ME66670 Issued in FL
Legal business name
ERICK A GRANA M.D. PA
Practice address
8011 N Himes Ave
Suite 2
Tampa, FL 33614-2700
Phone
(813) 935-1284
Fax
(813) 935-3773
NPI assigned
Jun 5, 2008
Last updated
Jun 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Authorized official

Name
Erick A Grana, M.D.
Title
President/Owner
Phone
(813) 935-1284

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081P2900X ME66670 FL Primary

Addresses

Primary practice location

8011 N Himes Ave
Suite 2
Tampa, FL 33614-2700

Mailing address

8011 N Himes Ave
Suite 2
Tampa, FL 33614-2700
Phone (813) 935-1284

Other identifiers 1

IdentifierTypeStateIssuer
379108400MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1205095254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8011 N HIMES AVE",
            "address_2": "SUITE 2",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142700",
            "telephone_number": "813-935-1284",
            "fax_number": "813-935-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8011 N HIMES AVE",
            "address_2": "SUITE 2",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142700",
            "telephone_number": "813-935-1284",
            "fax_number": "813-935-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERICK A GRANA M.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "GRANA",
        "authorized_official_first_name": "ERICK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "813-935-1284",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "ME66670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379108400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.