Organization Active NPI

Marc a Grinberg MD PA

  • Eyewear Supplier
  • Sarasota, FL
National Provider Identifier
1568638005
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
ME17033 Issued in FL
Legal business name
MARC A GRINBERG MD PA
Practice address
1880 Arlington St
Ste 101
Sarasota, FL 34239-3524
Phone
(941) 366-7611
Fax
(941) 957-4761
NPI assigned
May 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2010

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

Authorized official

Name
Mr. Billie B Winters
Title
Office Manager
Phone
(941) 366-7611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X ME17033 FL Primary

Addresses

Primary practice location

1880 Arlington St
Ste 101
Sarasota, FL 34239-3524

Mailing address

1880 Arlington St
Ste 101
Sarasota, FL 34239-3524
Phone (941) 366-7611

National Provider Directory

National Provider Directory

Locations

1880 Arlington St
Ste 101
Sarasota, FL 34239
Phone (941) 366-7611

NPI Registry JSON

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1568638005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 ARLINGTON ST",
            "address_2": "STE 101",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393524",
            "telephone_number": "941-366-7611",
            "fax_number": "941-957-4761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 ARLINGTON ST",
            "address_2": "STE 101",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393524",
            "telephone_number": "941-366-7611",
            "fax_number": "941-957-4761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC A GRINBERG MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "WINTERS",
        "authorized_official_first_name": "BILLIE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "941-366-7611",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "ME17033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; 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.