Individual provider Active NPI

Amy A Griswold, MD

  • Anesthesiology Physician
  • Bradenton, FL
National Provider Identifier
1669580171
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME67865 Issued in FL
Practice address
842 62ND St Cir E
#104
Bradenton, FL 34208
Phone
(941) 748-7246
Fax
(941) 748-7244
NPI assigned
Aug 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME67865 FL Primary
Pain Clinic/Center 261QP3300X ME67865 FL

Addresses

Primary practice location

842 62ND St Cir E
#104
Bradenton, FL 34208

Mailing address

1180 8TH Ave W # 311
Palmetto, FL 34221-3810
Phone (941) 748-7246

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071106000442 FL Practitioner - Pain ManagementPractitioner - Anesthesiology 1759478894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
University of Miami, LM Miller School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3800 26TH St W
Bradenton, FL 34205-3508
Phone (941) 518-6154

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME67865FLMDAnesthesiology Physician

Practice roles (4 of 5)

OrganizationSpecialtyStatusNew patients
Amy a Griswold M D P a Anesthesiology CurrentSince Dec 1, 2006 Accepting new patients
Orthomed Pain & Sports Medicine PastSince Oct 1, 2016 Accepting new patients
Anesthesia and Pain Physicians of Florida, PA Past Accepting new patients
Thomas Medrick Sweeney II MD PHD PLLC PastSince Mar 25, 2019 Accepting new patients

Locations

842 62nd Street Cir E
Ste 104
Bradenton, FL 34208
Phone (941) 748-7246

5817 21st Ave W
Bradenton, FL 34209
Phone (941) 794-0379

1180 8th Ave W
Palmetto, FL 34221
Phone (941) 480-0200

401 Commercial Ct
Ste D
Venice, FL 34292
Phone (941) 480-0200

Networks

  • Freedom Health HMO Network

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273017600000",
    "number": "1669580171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 8TH AVE W # 311",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342213810",
            "telephone_number": "941-748-7246",
            "fax_number": "941-748-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 62ND ST CIR E",
            "address_2": "#104",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34208",
            "telephone_number": "941-748-7246",
            "fax_number": "941-748-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISWOLD",
        "first_name": "AMY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2010-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME67865",
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "FL",
            "license": "ME67865",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.