Active NPI
Tayler Grybowski
- Physician Assistant
- Brandon, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 615 Vonderburg Dr
Brandon, FL 33511-5972 - Phone
- (813) 684-2663
- Fax
- (813) 658-6222
- NPI assigned
- Dec 8, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
615 Vonderburg Dr
Brandon, FL 33511-5972
Mailing address
615 Vonderburg Dr
Brandon, FL 33511-5972
Phone (813) 684-2663
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Dutch Ridge Rd
Beaver, PA 15009-9727
Phone (724) 773-6403
1030 Beaner Hollow Rd
Beaver, PA 15009-9723
Phone (724) 775-4545
500 Sharon Rd
Beaver, PA 15009-1957
Phone (724) 728-8751
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steward Medical Group Inc. | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Heritage Valley Medical Group, Inc. | Past | Accepting new patients |
Locations
9 Galen St
Watertown, MA 02472
Phone (617) 562-5413
1350 E Market St
Warren, OH 44483
Phone (330) 841-5969
951 Male Rd
Wind Gap, PA 18091
Phone (610) 654-1000
Interoperability endpoints
- tayler.grybowski.2@33638.direct.athenahealth.com
- taylergrybowski@hvhs.allscriptsdirect.net
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Beaver, PA
- NPI 1528015401
-
- Specialist
- Brighton, MA
- NPI 1013220151
-
- Specialist
- Brighton, MA
- NPI 1356654495
-
- Cardiovascular Disease Physician
- Beaver, PA
- NPI 1003068891
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beaver, PA
- NPI 1063422053
-
- General Acute Care Hospital
- Beaver Falls, PA
- NPI 1306989983
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sewickley, PA
- NPI 1528101458
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607385600000",
"number": "1356947949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 VONDERBURG DR",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115972",
"telephone_number": "813-684-2663",
"fax_number": "813-658-6222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 VONDERBURG DR",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115972",
"telephone_number": "813-684-2663",
"fax_number": "813-658-6222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRYBOWSKI",
"first_name": "TAYLER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-08",
"last_updated": "2020-12-08",
"certification_date": "2020-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.