Jesse Carl Grieb, DO
Individual provider Active NPI Family Medicine Physician · West Palm Beach, FL
NPI 1639735962 · NPPES record last updated Jun 27, 2023
Key facts
- NPI
- 1639735962
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- OS17390 (FL)
- Practice address
- 2201 45TH St
West Palm Beach, FL 33407-2047 - Phone
- (561) 842-6141
- NPI assigned
- May 13, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Nova Southeastern College of Osteo Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- HHA Associates LLC
Hospital Physician Services of Florida PA
Practice addresses (Care Compare)
5301 S Congress Ave
Atlantis, FL 33462-1149
Phone (561) 548-1953
901 45TH St
Mangonia Park, FL 33407-2413
Phone (561) 882-2878
Hospital & facility affiliations
- St Mary'S Medical Center
- HCA Florida JFK Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220328001189 | FL | Practitioner - Family Practice | 3476948522 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS17390 | FL | MD | Neuromusculoskeletal Medicine & OMM Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ehs at Lakeside LLC | Current |
Accepting new patients | |
| HHA Associates LLC | Current |
Accepting new patients | |
| Ocean Health Care Group | Current |
Accepting new patients | |
| Hospital Physician Services of Florida PA | Family Medicine | Current |
Accepting new patients |
Locations
39200 Hooker Hwy
Belle Glade, FL 33430
Phone (561) 992-9477
2715 E Oakland Park Blvd
Ste 101
Ft Lauderdale, FL 33306
Phone (954) 530-9498
5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549
7201 N University Dr
Tamarac, FL 33321
Phone (954) 721-2200
2201 45th St
West Palm Beach, FL 33407
Phone (561) 842-6141
13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300
Interoperability endpoints
- lmcjgrieb@yourcarecommunity.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | OS17390 | FL | |
| Family Medicine Physician | 207Q00000X | OS17390 | FL | Yes |
Addresses
Primary practice location
2201 45TH St
West Palm Beach, FL 33407-2047
Mailing address
2201 45TH St
West Palm Beach, FL 33407-2047
Phone (561) 842-6141
Other providers in West Palm Beach, FL
- Barry M. Gregory
- Carin Gregory
- Louis Gregory III
- Victoria Rose Gregory
- Yanick Gribkoff
- Charles E Griff
- Bruna Silveira Griffin
- Janice Leah Griffin
- Jessica Teresa Griffin
- Sahbeia Griffiths
All providers in West Palm Beach, FL · Family Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.