Active NPI
David Frank Grider, D.O.
- Family Medicine Physician
- Big Pine Key, FL
National Provider Identifier
1811019045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS-0004048
- Practice address
- 29980 Overseas Hwy
Big Pine Key, FL 33043-3362 - Phone
- (305) 872-3321
- Fax
- (305) 872-9062
- NPI assigned
- Apr 6, 2007
- Last updated
- Oct 2, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS-0004048 | FL | Primary |
Addresses
Primary practice location
29980 Overseas Hwy
Big Pine Key, FL 33043-3362
Mailing address
PO Box 430536
Big Pine Key, FL 33043-0536
Phone (305) 872-3321
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0681521-00 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS-0004048 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Big Pine Physical Therapy, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Big Pine Key, FL
- NPI 1639590078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380672000000",
"number": "1811019045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 430536",
"city": "BIG PINE KEY",
"state": "FL",
"postal_code": "330430536",
"telephone_number": "305-872-3321",
"fax_number": "305-872-9062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29980 OVERSEAS HWY",
"city": "BIG PINE KEY",
"state": "FL",
"postal_code": "330433362",
"telephone_number": "305-872-3321",
"fax_number": "305-872-9062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIDER",
"first_name": "DAVID",
"middle_name": "FRANK",
"name_prefix": "Mr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-06",
"last_updated": "2013-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS-0004048",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0681521-00",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Big Pine Key, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.