DR. DENIS WALTER GRILLO (NPI# 1235127937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235127937 |
| Entity Type | Individual |
| Full Name | DR. DENIS WALTER GRILLO |
| Credential | D.O. |
| Practice Address |
790 Se 5th Ter Crystal River FL 34429-4852 |
| Practice Telephone | 3527950011 |
| Practice Fax Number | 3527959481 |
| Mailing Telephone | 3527950011 |
| Mailing Fax Number | 3527959481 |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2018-09-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
OS5716 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | AVMED | 200691 | 01 |
| FL | MEDICARE RAILROAD | P00062969 | 01 |
| FL | UMW | 1409549 | 01 |
| FL | BCBS OF FLORIDA | 80221 | 01 |
| Street Address |
790 SE 5TH TER |
| City | CRYSTAL RIVER |
| State | FL |
| Zip Code | 34429-4852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669590790 | Crystal Community E N T | Otolaryngology | 790 Se 5th Ter, Crystal River, FL 34429-4852 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093324386 | Sydney M Mergler | Specialist/Technologist | 315 Ne 10th St, Crystal River, FL 34429 | 2020-07-23 |
| 1497255814 | Plantation Medical Care, Pa | Clinic/Center | 9030 W Fort Island Trl Ste 11b, Crystal River, FL 34429 | 2018-02-13 |
| 1356864599 | Jeri Leigh Anderson | Family Medicine | 6199 W. Gulf To Lake Hwy, Crystal River, FL 34429 | 2017-07-19 |
| 1982011706 | Bambi Ann Heyer | Nurse Practitioner | 659 Ne Hwy 19 Unit 1, Crystal River, FL 34429 | 2014-07-14 |
| 1982977120 | Life Soulutions | Community/Behavioral Health | 427 Ne 3rd St Ste C, Crystal River, FL 34429 | 2012-02-20 |
| 1073844296 | Richard C Swanson,dmd Pa | Clinic/Center | 1815 Se Hwy 19, Crystal River, FL 34429 | 2010-01-28 |
| 1710116520 | Albert M. Boholst | Surgery | 730 S.e. 5th Terrace, Crystal River, FL 34429 | 2009-07-14 |
| 1033353453 | Claire Annette Wirt | Mechanotherapist | 1925 Se Hwy 19, Crystal River, FL 34429 | 2009-04-29 |
| 1811134067 | John D. Hosner, D.d.s., P.a. | Dentist | 1118 N. Suncoast Blvd., Crystal River, FL 34429 | 2009-01-09 |
| 1396981528 | Meadowcrest Family Physicians, P.a. | Family Medicine | 1250 N Vantage Pt Dr, Crystal River, FL 34429 | 2008-12-17 |
| Find all providers in zip 34429 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669590790 | Crystal Community E N T | Otolaryngology | 790 Se 5th Ter, Crystal River, FL 34429-4852 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740832799 | Aspire Allergy & Sinus of Florida Pllc | Otolaryngology | 31800 Us Highway 19 N, Palm Harbor, FL 34684-3713 | 2019-07-10 |
| 1376970731 | Accent Physician Specialists, P.a. | Otolaryngology | 438 Sw Perimeter Gln, Suite 100, Lake City, FL 32025-0497 | 2013-10-01 |
| 1306190889 | Elliott Solomon | Otolaryngology | 4381 White Cedar Lane, Delray Beach, FL 33445 | 2012-11-05 |
| 1992036933 | Don N. Lerner, Md, P.a. | Otolaryngology | 836 Prudential Dr Ste 1802, Suite 1802, Jacksonville, FL 32207-8345 | 2010-01-14 |
| 1710143987 | Broward Head Neck and Facial Plastic Surgery Pa | Otolaryngology | 2671 Riviera Mnr, Weston, FL 33332-3422 | 2008-08-06 |
| 1356517767 | Jeremy Boyd White | Otolaryngology | 20950 Ne 27th Ct Ste 302, Arc Plastic Surgery, Aventura, FL 33180-1232 | 2008-05-06 |
| 1073709127 | Burger Zapf | Otolaryngology | 411 Walnut St, Green Cove Springs, FL 32043-3443 | 2007-09-22 |
| 1639360258 | Beaches Facial and Nasal Surgery Center | Otolaryngology | 1361 13th Ave S Ste 125, Jacksonville Beach, FL 32250-3260 | 2007-08-08 |
| 1851509889 | Kapil Saigal | Otolaryngology | 1035 N Orlando Ave Ste 205, Winter Park, FL 32789-2213 | 2007-05-21 |
| 1790853091 | Linda J Gardiner | Otolaryngology | 9771 Cypress Lake Dr, Fort Myers, FL 33919-6063 | 2006-12-04 |
| Find all providers with the same taxonomy | ||||
| City | CRYSTAL RIVER |
| Zip Code | 34429 |
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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.