DR. DAVID ROGER GRECH (NPI# 1336128792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336128792 |
| Entity Type | Individual |
| Full Name | DR. DAVID ROGER GRECH |
| Credential | MD |
| Practice Address |
1679 Eagle Harbor Pkwy Ste B Orange Park FL 32003-4816 |
| Mailing Address |
3901 University Blvd S Ste 221 Jacksonville FL 32216-4392 |
| Practice Telephone | 9043758100 |
| Practice Fax Number | 9043758101 |
| Mailing Telephone | 9044230010 |
| Mailing Fax Number | 9044230012 |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2018-04-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
ME99750 | FL | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
35058304 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 280818800 | 05 |
| Street Address |
1679 EAGLE HARBOR PKWY STE B |
| City | ORANGE PARK |
| State | FL |
| Zip Code | 32003-4816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649758012 | Pruitthealth - Fleming Island, LLC | Skilled Nursing Facility | 2040 Town Center Boulevard, Fleming Island, FL 32003 | 2018-07-30 |
| 1841733904 | Linda Giacobbe | Community/Behavioral Health | 4609 Hwy 17, Suite 1, Fleming Island, FL 32003 | 2016-11-22 |
| 1538515796 | Kelly Standish | Dentist | 1700 Eagle Harbor Parkway East, Orange Park, FL 32003 | 2016-05-06 |
| 1396119301 | Emily Benn | Physical Therapist | 4689 Hwy 17, Suite 11, Fleming Island, FL 32003 | 2015-11-16 |
| 1467834929 | Sherrye Frady | Nurse Practitioner | 1915 East West Pkwy #2, Fleming Island, FL 32003 | 2015-06-22 |
| 1023497658 | Musa Medical Supplies | Durable Medical Equipment & Medical Supplies | 1915 Eastwest Parkway, Fleming Island, FL 32003 | 2015-05-28 |
| 1093125676 | Stephen Gibbs | Orthopaedic Surgery | 4689 Highway 17, Suite 11, Fleming Island, FL 32003 | 2014-05-05 |
| 1033555198 | Lillie Elaine Switanek | Social Worker | 1 743 Cr 220, Fleming Island, FL 32003 | 2013-05-16 |
| 1003188475 | Comfortable Care Dental Health Professionals | Dentist | 1647 Country Road 220, Suite 101, Fleming Island, FL 32003 | 2012-02-01 |
| 1285901488 | Lynzie Lane Cammilleri | Pharmacist | 1565 Doctor's Inlet, Orange Park, FL 32003 | 2011-11-17 |
| Find all providers in zip 32003 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871879841 | Advanced Cardiac Diagnostics LLC | Internal Medicine | 2507 Holly Point Rd E, Orange Park, FL 32073-5632 | 2011-10-22 |
| 1871600783 | Youssef Al-saghir | Internal Medicine | 1681 Eagle Harbor Pkwy, Suite B, Orange Park, FL 32003-4819 | 2006-08-24 |
| 1962464685 | Hossein Ramezani | Internal Medicine | 1518 Kingsley Ave, Orange Park, FL 32073-4511 | 2006-04-06 |
| 1386645778 | Jayalakshmi Padmanabhan | Internal Medicine | 108 Kingsley Ave, Orange Park, FL 32073-5685 | 2005-08-09 |
| 1194728303 | Paul A Bednarzyk | Internal Medicine | 2300 Park Ave, Suite 101-b, Orange Park, FL 32073-5572 | 2005-05-23 |
| 1679576870 | Carlos A Leon | Internal Medicine | 2300 Park Avenue, Suite 101-b, Orange Park, FL 32073-5072 | 2005-05-23 |
| 1578805875 | Baptist Cardiology Inc | Internal Medicine | 1747 Baptist Clay Rd, Orange Park, FL 32003-8501 | 2013-03-25 |
| 1609117845 | Physicians Group Services Pa | Internal Medicine | 1560 Kingsley Ave, Suite 3, Orange Park, FL 32073-4593 | 2013-03-13 |
| 1639388069 | Jayalakshmi Padmanabhan Md, Pa | Internal Medicine | 108 Kingsley Ave, Orange Park, FL 32073-5685 | 2007-05-22 |
| 1275516999 | Lilla Gayle Martin | Internal Medicine | 1893 Kingsley Ave, Suite B, Orange Park, FL 32073-4491 | 2005-11-28 |
| Find all providers in ORANGE PARK | ||||
| City | ORANGE PARK |
| Zip Code | 32003 |
Please comment or provide details below to improve the information on DR. DAVID ROGER GRECH.
| 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.