Granada Emergency Physicians

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

GRANADA EMERGENCY PHYSICIANS

Practice address

875 Sterthaus Ave
Ormond Beach, FL 32174-5131

Phone

(386) 676-6022

Fax

(386) 676-6255

NPI assigned

May 9, 2006

Organization subpart

No

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

Authorized official

Name

Terry Meadows

Title

Vice President

Phone

(800) 507-8874

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1689623407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41752",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191011752",
            "telephone_number": "800-507-8874",
            "fax_number": "727-507-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 STERTHAUS AVE",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745131",
            "telephone_number": "386-676-6022",
            "fax_number": "386-676-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANADA EMERGENCY PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "MEADOWS",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "800-507-8874"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269147700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• B. Scott Goralnik, ORTHOTIC FITTER
• Kim M Goss, COTA
• Denis B Goudreau, R.PH.
• Kerri-Ann Graham Michaux, D.M.D.
• Paul M Graham, DO, FAAD
• Karen D. Grant, LCSW
• Jacqueline Marie Green, LMT
• Jennifer Marie Green, PTA
• Julia Laine Greene, APRN
• Michael Terry Greiner, MOT, OTR/L

• Emergency Medicine Physician in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.