Organization Active NPI

Kimberly Grill DO P L C

  • Internal Medicine Physician
  • St Petersburg, FL
National Provider Identifier
1992848246
Registry record updated Dec 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2013

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

Authorized official

Name
Kimberly GrillNPI 1902816606
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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.