DR. MARSHALL SALVATORE GRILLO SR. (NPI# 1245331768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245331768 |
| Entity Type | Individual |
| Full Name | DR. MARSHALL SALVATORE GRILLO SR. |
| Credential | DO |
| Practice Address |
5239 Grove Mnr Lady Lake FL 32159-3527 |
| Mailing Address |
909 W 3rd St Gladwin MI 48624-1048 |
| Practice Telephone | 3527537591 |
| Practice Fax Number | 3527537591 |
| Mailing Telephone | 9894268228 |
| Mailing Fax Number | 9894268228 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
5101005492 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 11137932410267 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730114448 | Marshall Salvatore Grillo Jr. | Surgery | 600 Health Park Blvd, Ste G, Grand Blanc, MI 48439-2558 | 2006-07-11 |
| Street Address |
5239 GROVE MNR |
| City | LADY LAKE |
| State | FL |
| Zip Code | 32159-3527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306451216 | Lindsey Porubcan | Physician Assistant | 990 South Us Highway 441/27, Lady Lake, FL 32159 | 2020-09-09 |
| 1073134979 | Michael Robert Frates | Dietitian, Registered | 900 Cr 466, Lady Lake, FL 32159 | 2020-05-01 |
| 1346800364 | Barbara Conrad | Social Worker | 906 Orchid Street, Lady Lake, FL 32159 | 2019-06-20 |
| 1962977165 | Curelogics Wound Care and Hyperbaric LLC | Registered Nurse | 809 County Road 466, Unit C-201, Lady Lake, FL 32159 | 2018-10-04 |
| 1346736907 | Caroline Butler | Physician Assistant | 805 E. Cr 466, Lady Lake, FL 32159 | 2018-07-06 |
| 1033609607 | Cyrus Immanuel Macalisang Doroy | Physical Therapist | 6340 County Rd 466, Suite 733, Lady Lake, FL 32159 | 2018-05-18 |
| 1962999680 | Sharma Institute of Pain Medicine | Physical Medicine & Rehabilitation | 1501 Us Hwy 441, Villages, FL 32159 | 2018-04-18 |
| 1538683198 | Cathleen Laurel Civiello | Psychologist | 929 H. Hwy 441, Suite 404, Lady Lake, FL 32159 | 2017-07-26 |
| 1649709015 | Adria Young | Optometrist | 801 Cr 466, Suite 102 Sunset Plaza, Lady Lake, FL 32159 | 2017-06-08 |
| 1891222527 | Center for Hope and Healing, LLC | Social Worker | 804 Hwy 466, Lady Lake, FL 32159 | 2017-05-12 |
| Find all providers in zip 32159 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033744925 | Florida Radiology Imaging At Lake Mary, LLC | Radiology | 1480 W Orange Blossom Trl, Apopka, FL 32712-2637 | 2020-03-11 |
| 1194298851 | Ernst Merceron | Radiology | 4649 Caverns Dr, Kissimmee, FL 34758-2504 | 2019-01-05 |
| 1548748098 | James Joseph Paul | Radiology | 11001 Gulf Reflections Dr, Fort Myers, FL 33908-8511 | 2018-08-06 |
| 1740776723 | Cor Imaging Center Inc | Radiology | 5423 N State Road 7, Tamarac, FL 33319-2921 | 2018-07-02 |
| 1407221096 | Total Diagnostic Solutions LLC | Radiology | 1225 Nw 40th Ave # 2a, Lauderhill, FL 33313-5801 | 2015-12-08 |
| 1891160487 | Total Diagnostic Solutions LLC | Radiology | 15105 Nw 77th Ave # 1a, Miami Lakes, FL 33014-7803 | 2015-12-08 |
| 1720453319 | Total Diagnostic Solutions LLC | Radiology | 8010 W Colonial Dr Ste 162, Orlando, FL 32818-6106 | 2015-12-08 |
| 1013381656 | Sandra Ramos Schneider | Radiology | 4300 S Us Highway 1, Suite 203-293, Jupiter, FL 33477-1198 | 2015-11-19 |
| 1992129324 | East Central Florida Outpatient Imaging, LLC | Radiology | 2090 Saxon Blvd, Suite A, Deltona, FL 32725-3251 | 2014-02-05 |
| 1386985190 | Holy Cross Hospital, Inc. | Radiology | 1115 S. Federal Highway, Fort Lauderdale, FL 33316 | 2013-03-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.