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DR. LAURENCE SHANE GRUNDY MD NPI 1649239054


NPI Information

NPI: 1649239054
Provider Name: DR. LAURENCE SHANE GRUNDY, MD
Classification: Radiology - 2085R0204X
Entity Type: Individual

Specialization: Vascular & Interventional Radiology

PECOS Registration: Yes

Address:
2700 UNIVERSITY SQUARE DRIVE
RADIOLOGY ASSOCIATES OF TAMPA
TAMPA, FL
ZIP 33612
Phone: (813) 251-5822
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DR. Laurence Shane Grundy, MD is a vascular and interventional radiology radiology in Tampa, FL with 29 years of experience. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. DR. Laurence Shane Grundy, MD NPI is 1649239054. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduation Year:1995

The provider's business location address is:

2700 UNIVERSITY SQUARE DRIVE
RADIOLOGY ASSOCIATES OF TAMPA
TAMPA, FL
ZIP 33612-513
Phone: (813) 251-5822
Fax: (813) 254-4597

The NPI 1649239054 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes (HCPCS:99152)
  • Ultrasound guidance for accessing into blood vessel (HCPCS:76937)
  • Fluoroscopic guidance for insertion, replacement or removal of central venous access device (HCPCS:77001)
  • Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)
  • Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)
  • Ultrasound study of arteries and arterial grafts of both legs (HCPCS:93925)
  • Ultrasound study of arteries of both arms and legs (HCPCS:93922)
  • Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older (HCPCS:36561)
  • Ultrasound study of arteries and arterial grafts of one leg or limited (HCPCS:93926)

The enumeration date for this NPI number is 3/23/2006 and was last updated on 3/8/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyME71962FLORIDANo
22085R0204XRadiologyVascular & Interventional RadiologyME71962FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1300024404MEDICARE PINFLORIDA
2E5248VMEDICARE PINFLORIDA
3H35577MEDICARE UPINFLORIDA
4261385900MEDICAIDFLORIDA
5118774MEDICAIDALABAMA
6300125448MEDICARE PINFLORIDA
7300021274MEDICARE PINFLORIDA
8E5248UMEDICARE PINFLORIDA
9P00942444MEDICARE PINFLORIDA
10300093746MEDICARE PINFLORIDA
11300065508MEDICARE PINFLORIDA
12E5248MEDICARE PINFLORIDA
13E5248SMEDICARE PINFLORIDA
14E5248ZMEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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