Individual provider Active NPI

Mark Steven Grenitz, M.D.

  • Obstetrics & Gynecology Physician
  • Plantation, FL
National Provider Identifier
1790746279
Registry record updated Sep 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME56893 Issued in FL
Practice address
220 SW 84TH Ave
Suite 105
Plantation, FL 33324-2754
Phone
(954) 473-2011
Fax
(954) 473-8611
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME56893 FL Primary

Addresses

Primary practice location

220 SW 84TH Ave
Suite 105
Plantation, FL 33324-2754

Mailing address

220 SW 84TH Ave
Suite 105
Plantation, FL 33324-2754
Phone (954) 473-2011

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
I20141024000469 FL Order and Referring Only - Obstetrics/GynecologyPractitioner - Obstetrics/Gynecology 7012906035

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME56893FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
All Womens Healthcare of Sunrise Inc Obstetrics & Gynecology Past Accepting new patients
All Womens Healthcare of Sunrise Inc Obstetrics & Gynecology Past Accepting new patients
Vitalmd Group Holding LLC Obstetrics & Gynecology PastSince Oct 1, 2013 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mark.grenitz@toplinemd.eclinicaldirectplus.com

Organizations & group practices 3

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221264000000",
    "number": "1790746279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 SW 84TH AVE",
            "address_2": "SUITE 105",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242754",
            "telephone_number": "954-473-2011",
            "fax_number": "954-473-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 SW 84TH AVE",
            "address_2": "SUITE 105",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242754",
            "telephone_number": "954-473-2011",
            "fax_number": "954-473-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRENITZ",
        "first_name": "MARK",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2008-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME56893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.