Alan B Grindal, MD

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

ME0031519 Issued in FL

Practice address

1515 S Osprey Ave
Suite 1-a
Sarasota, FL 34239-2939

Phone

(941) 917-7197

Fax

(941) 917-4016

NPI assigned

May 3, 2006

Last updated

Jan 3, 2019By 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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• SMH Professional Services Corp

  • Multi-Specialty Clinic/Center
  • Sarasota, FL
  • NPI 1376505370
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1669430203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 863407",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328863407",
            "telephone_number": "941-917-2600",
            "fax_number": "941-917-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 S OSPREY AVE",
            "address_2": "SUITE 1-A",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392939",
            "telephone_number": "941-917-7197",
            "fax_number": "941-917-4016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRINDAL",
        "first_name": "ALAN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "FL",
            "license": "ME0031519",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME0031519",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276322200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "79226",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheena Marie Griffin
• David Brock Griffith, MPT
• James J Griffith, M.D.
• Nathan James Griffiths-Tention, PTA
• Marc A Grinberg, M.D.
• Kimberly Grisanti, APRN
• Nyome Gritten
• Charles Dietrich Grogan, PTA
• Thomas Scott Grogean, DO
• Steven R Grogg, D.O.

• Geriatric Psychiatry Physician in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Geriatric Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.