Michael Thomas Grondin, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9104351 Issued in FL

Practice address

601 NW 179TH Ave
Suite 104
Pembroke Pines, FL 33029-2819

Phone

(954) 431-2122

Fax

(954) 432-9013

NPI assigned

Nov 14, 2007

Last updated

Jun 15, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urgent Med IncGroup PAC ID 9234115460, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Urgent Med Inc

  dba UrgentMed

  • Urgent Care Clinic/Center
  • Davie, FL
  • NPI 1902994908
  Medicare reassignment Care Compare group
• Dr GS Urgent Care LLC

  • Urgent Care Clinic/Center
  • Delray Beach, FL
  • NPI 1881970168
  Medicare reassignment
• FL-I Medical Services, LLC

  • Nurse Practitioner
  • Fort Pierce, FL
  • NPI 1750655106
  Medicare reassignment
• Florida Post Acute Medical Services 1 PA

  • Hospitalist Physician
  • Tampa, FL
  • NPI 1255862439
  Medicare reassignment
• Inpatient Consultants of Florida, Inc

  • Internal Medicine Physician
  • Orange Park, FL
  • NPI 1396795597
  Medicare reassignment
• Ca Pacs 2 Medical Group Inc

  • Hospitalist Physician
  • San Leandro, CA
  • NPI 1801372669

  FL

  Medicare reassignment
• CS Pacs 3 Southeast, LLC

  • Hospitalist Physician
  • Bluefield, WV
  • NPI 1154104958

  FL

  Medicare reassignment
• FL-I Medical Services LLC

  • Emergency Medicine Physician
  • Englewood, FL
  • NPI 1104235589

  Physician Assistant

  NPD
• FL-I Medical Services LLC

  • Physician Assistant
  • Haines City, FL
  • NPI 1285356790
  NPD
• Inpatient Consultants of Florida, Inc

  • Hospitalist Physician
  • Clearwater, FL
  • NPI 1811179831
  NPD

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1457531865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 NORTH UNIVERSITY DR",
            "address_2": "SUITE 112",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33024",
            "telephone_number": "954-963-6500",
            "fax_number": "954-963-6233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 NW 179TH AVE",
            "address_2": "SUITE 104",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292819",
            "telephone_number": "954-431-2122",
            "fax_number": "954-432-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRONDIN",
        "first_name": "MICHAEL",
        "middle_name": "THOMAS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-14",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9104351",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9104351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Nicole Griffin
• Sarah Griffin
• Victoria Griffith, DO MPH
• Lisa Grilliot
• Natalie Marie Grillo
• Daren D Grosman, MD
• Grounded Ventures LLC
• Grow Smart Therapy LLC
• Rosanna Grullon
• Beatrice Grumberg, M.D.

• Physician Assistant in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.

Verify at the official NPI Registry.