Active NPI
Trudi Griffo, M.D.
- Gynecology Physician
- Davenport, FL
National Provider Identifier
1982622379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- ME92171
- Practice address
- 2506 Sand Mine Rd
Davenport, FL 33897-3402 - Phone
- (863) 424-4321
- NPI assigned
- Jul 17, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | ME92171 | FL | Primary |
Addresses
Primary practice location
2506 Sand Mine Rd
Davenport, FL 33897-3402
Mailing address
1012 Tapestry LN
Celebration, FL 34747-4031
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME92171 | Other | FL | MEDICAL LICENSE |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME92171 | FL | MD | Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982622379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1012 TAPESTRY LN",
"city": "CELEBRATION",
"state": "FL",
"postal_code": "347474031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2506 SAND MINE RD",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "338973402",
"telephone_number": "863-424-4321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFO",
"first_name": "TRUDI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "FL",
"license": "ME92171",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "ME92171",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Davenport, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.