MARSHALL SALVATORE GRILLO DO NPI 1730114448

NPI Information

NPI: 1730114448
Provider Name: MARSHALL SALVATORE GRILLO, DO
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

PECOS Registration: Yes

Address:
600 HEALTH PARK BLVD
STE G
GRAND BLANC, MI
ZIP 48439
Phone: (810) 606-1660
Get Directions

Marshall Salvatore Grillo, DO is a vascular surgery surgery in Grand Blanc, MI with 34 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Marshall Salvatore Grillo, DO NPI is 1730114448. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduation Year:1990

The provider's business location address is:

600 HEALTH PARK BLVD
STE G
GRAND BLANC, MI
ZIP 48439-558
Phone: (810) 606-1660
Fax: (810) 606-1655

The NPI 1730114448 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 enumeration date for this NPI number is 7/11/2006 and was last updated on 2/20/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery	0102203257	VIRGINIA	No
2	2086S0129X	Surgery	Vascular Surgery	5101011025	MICHIGAN	Yes
3	2086S0129X	Surgery	Vascular Surgery	2205	TENNESSEE	No
4	2086S0129X	Surgery	Vascular Surgery	TP053	KENTUCKY	No
5	2086S0129X	Surgery	Vascular Surgery	OS010217L	PENNSYLVANIA	No

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	176254	OTHER	PENNSYLVANIA	BS HIGHMARK
2	0017202200012	MEDICAID	PENNSYLVANIA
3	VV8204	MEDICARE PIN	VIRGINIA
4	821942	OTHER	PENNSYLVANIA	1ST PRIORITY HEALTHCARE
5	P01136744	MEDICARE PIN	VIRGINIA
6	F58801	MEDICARE UPIN
7	1730114448	MEDICAID	VIRGINIA
8	PENDING	MEDICARE PIN	MICHIGAN
9	000000566339	OTHER	KENTUCKY	ANTHEM
10	021148	MEDICARE PIN	PENNSYLVANIA

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: 5/5/2024

NPI Synchronization or Removal

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