Active NPI
Kimberly Grill DO P L C
- Internal Medicine Physician
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- KIMBERLY GRILL DO P L C
- Practice address
- 5425 Park St N
Suite 5 W
St Petersburg, FL 33709-7062 - Phone
- (727) 545-4700
- NPI assigned
- Feb 15, 2007
- Last updated
- Dec 31, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly Grill
- Title
- Owner
- Phone
- (727) 545-4700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
5425 Park St N
Suite 5 W
St Petersburg, FL 33709-7062
Mailing address
1 Maryland Farms
Suite 200
Brentwood, TN 37027-5006
National Provider Directory
National Provider DirectoryLocations
10863 Park Blvd
Ste 4
Seminole, FL 33772
Phone (727) 545-4700
5425 Park St N
Ste 5W
St Petersburg, FL 33709
Phone (727) 545-4700
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- St Petersburg, FL
- NPI 1902816606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1388448000000",
"number": "1992848246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MARYLAND FARMS",
"address_2": "SUITE 200",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370275006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5425 PARK ST N",
"address_2": "SUITE 5 W",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337097062",
"telephone_number": "727-545-4700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIMBERLY GRILL DO P L C",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-15",
"last_updated": "2013-12-31",
"status": "A",
"authorized_official_last_name": "GRILL",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "727-545-4700"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.