Marc A Grinberg, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME17033 Issued in FL

Practice address

1880 Arlington St
101
Sarasota, FL 34239-3524

Phone

(941) 366-7611

Fax

(941) 957-4761

NPI assigned

Aug 11, 2005

Reactivated

Apr 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1912909896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 ARLINGTON ST STE 101",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393505",
            "telephone_number": "941-366-7611",
            "fax_number": "941-957-4761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 ARLINGTON ST",
            "address_2": "101",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393524",
            "telephone_number": "941-366-7611",
            "fax_number": "941-957-4761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRINBERG",
        "first_name": "MARC",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2008-04-30",
        "deactivation_date": "2006-03-22",
        "reactivation_date": "2006-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME17033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Griffin
• Sheena Marie Griffin
• David Brock Griffith, MPT
• James J Griffith, M.D.
• Nathan James Griffiths-Tention, PTA
• Alan B Grindal, MD
• Kimberly Grisanti, APRN
• Nyome Gritten
• Charles Dietrich Grogan, PTA
• Thomas Scott Grogean, DO

• Specialist in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.