Organization Active NPI

Myrle R Grate Chartered

  • Specialist
  • Tallahassee, FL
National Provider Identifier
1396041265
Registry record updated Feb 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME14452 Issued in FL
Legal business name
MYRLE R GRATE CHARTERED
Practice address
1871 Professional Park Cir
Tallahassee, FL 32308-4506
Phone
(850) 878-2165
Fax
(850) 878-5348
NPI assigned
Feb 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2011

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

Authorized official

Name
Dr. Myrle R Grate Jr., MD
Title
Ceo
Phone
(850) 878-2165

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X ME14452 FL Primary

Addresses

Primary practice location

1871 Professional Park Cir
Tallahassee, FL 32308-4506

Mailing address

PO Box 13808
Tallahassee, FL 32317-3808
Phone (850) 878-2165

Other identifiers 1

IdentifierTypeStateIssuer
057665400MedicaidFL

Other names 1

  • North Florida Ear Nose & Throat Doing business as

National Provider Directory

National Provider Directory

Locations

1871 Professional Park Cir
Tallahassee, FL 32308
Phone (850) 656-1234

NPI Registry JSON

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

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297296000000",
    "number": "1396041265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13808",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323173808",
            "telephone_number": "850-878-2165",
            "fax_number": "850-878-5348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1871 PROFESSIONAL PARK CIR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084506",
            "telephone_number": "850-878-2165",
            "fax_number": "850-878-5348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYRLE R GRATE CHARTERED",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-09",
        "last_updated": "2011-02-10",
        "status": "A",
        "authorized_official_last_name": "GRATE",
        "authorized_official_first_name": "MYRLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "850-878-2165",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME14452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057665400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Florida Ear Nose & Throat",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2011; 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.