Orton F Grinnell, CFA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

F01315 Issued in MS

Practice address

230 Audubon Dr
Mandeville, LA 70471

Phone

(985) 845-1501

Fax

(985) 845-1601

NPI assigned

May 25, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223942400000",
    "number": "1245441898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 AUDUBON DR",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "70471",
            "telephone_number": "985-845-1501",
            "fax_number": "985-845-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 AUDUBON DR",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "70471",
            "telephone_number": "985-845-1501",
            "fax_number": "985-845-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRINNELL",
        "first_name": "ORTON",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "CFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2008-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "MS",
            "license": "F01315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N CERT OF FIRST ASSISTANT",
            "identifier": "F01315",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trudie Greene, GRADIATE SOCIAL WORK
• Amy Jo Griffin, LPN
• Darreon Guy Griffin, MSW, LMSW
• Kala Leighan Griffin
• Sharon Renee Griffin
• Garic Grisbaum, M.D.
• Tara Grissom, MS CCC-SLP
• Katherine B Gristina, MS, LOTR, C/NDT
• Katherine Lea Gristina, CCC-SLP
• Bruce Allen Groom, MD

• Surgical Assistant in Mandeville, LA
• Providers in Mandeville, LA by specialty
• Surgical Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.