Michael Patrick Grenon III is a Anesthesiologist Assistant practicing in Melbourne, Florida. The National Provider Identifier (NPI) is #1174412332, which was assigned on July 1, 2025, and the registration record was last updated on July 1, 2025. The practitioner's main practice location is at 1350 South Hickory St, Melbourne, FL 32901; the contact telephone number is 3214347145, and the fax number is 3214341656. The primary taxonomy of Michael Patrick Grenon III is Anesthesiologist Assistant (367H00000X).
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
NPI | 1174412332 |
Entity Type | Individual |
Provider Name | MR. MICHAEL PATRICK GRENON III |
Gender | Male |
Practice Address |
1350 South Hickory St Melbourne FL 32901 |
Practice Telephone | 3214347145 |
Practice Fax Number | 3214341656 |
Mailing Address |
112 Sea Breeze Cir Merritt Island FL 32953-2947 |
Certification Date | 2025-07-01 |
Enumeration Date | 2025-07-01 |
Last Update Date | 2025-07-01 |
Is Sole Proprietor | N |
Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
---|---|---|---|---|---|---|
Y | 367H00000X | Anesthesiologist Assistant |
Code | 367H00000X |
Taxonomy | Anesthesiologist Assistant |
Classification | Anesthesiologist Assistant |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Definition: An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Jasmine Marie Alvarez | 1901 Sw 172nd Ave, Miramar, FL 33029-5592 | Anesthesiologist Assistant | 2025-08-26 |
Andrew Lehman Parks | 4725 N Federal Hwy # 318, Fort Lauderdale, FL 33308-4668 | Anesthesiologist Assistant | 2025-08-25 |
Tyler Dobrindt | 2627 W Eau Gallie Blvd Ste 101, Melbourne, FL 32935-8303 | Anesthesiologist Assistant | 2025-06-23 |
Taylor Jayne Schraub | 1245 Orange Ave, Winter Park, FL 32789-4900 | Anesthesiologist Assistant | 2025-08-16 |
Justin Mcnair | 230 Squire Ln, Fayetteville, GA 30214-7139 | Anesthesiologist Assistant | 2025-08-25 |
Jesica Rose Ashby | 10000 W Colonial Dr, Ocoee, FL 34761-3400 | Anesthesiologist Assistant | 2025-08-13 |
Justin Evans | 17000 Porter Rd, Winter Garden, FL 34787-8800 | Anesthesiologist Assistant | 2025-08-25 |
Samuel Isaac Trevino | 2820 Michaelangelo Dr, Edinburg, TX 78539-1402 | Anesthesiologist Assistant | 2025-08-13 |
Neo Eusebio Sansone | 1000 Johnson Fy Rd Ne, Atlanta, GA 30342-1611 | Anesthesiologist Assistant | 2025-09-03 |
Zachary Thomas Nash | 1225 Airport Rd, Destin, FL 32541-2909 | Anesthesiologist Assistant | 2025-08-21 |
Find all providers with the same taxonomy |
Street Address |
112 SEA BREEZE CIR |
City | MERRITT ISLAND |
State | FL |
Zip Code | 32953-2947 |
Country | US |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Kellie C. Ponder · Kellie Staab | 220 N Grove St, Merritt Island, FL 32953-3444 | Occupational Therapist | 2012-10-26 |
Stephanie Ann Fisher | 390 N Courtenay Pkwy, Merritt Island, FL 32953-3456 | Family Nurse Practitioner | 2024-12-12 |
Srinivas Prasad | 150 N Sykes Creek Pywy, Ste 300, Merritt Island, FL 32953-3488 | Interventional Cardiology Physician | 2006-11-01 |
Stephanie Nicole Rude | 270 N Sykes Creek Pkwy Ste 110, Merritt Island, FL 32953-3494 | Nurse Practitioner | 2025-01-24 |
Chloe Anne Bradley | 270 N Sykes Creek Pkwy Ste 108, Merritt Island, FL 32953-3494 | Pediatric Nurse Practitioner | 2024-05-29 |
Jessica Martinez-Pompa | 1368 Old Mace Road, Patrick Sfb, FL 32953 | Family Nurse Practitioner | 2020-01-15 |
Guillermo I Vallejos | 220 N Sykes Creek Pkwy Ste 201, Merritt Island, FL 32953-3490 | Physical Therapist | 2011-11-16 |
Mary Claire Milburn | 220 N Grove St, Merritt Island, FL 32953-3444 | Physical Therapist | 2010-10-18 |
Amy Beth Craig | 220 N Sykes Creek Pkwy Ste 201, Merritt Island, FL 32953-3490 | Physical Therapist | 2012-09-26 |
Donald Peter Messersmith | 150 N Sykes Creek Pkwy, Suite 300, Merritt Island, FL 32953-3488 | Internal Medicine Physician | 2006-11-27 |
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Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Patrick Michael Sterling | 2251 Eastern Blvd, York, PA 17402-2917 | Family Medicine Physician | 2006-03-23 |
Michael Patrick Scholl | 2830 Easton Ave, Bethlehem, PA 18017-4204 | Family Medicine Physician | 2016-05-17 |
Patrick Michael Lim | 2615 S Miller St Ste 106, Santa Maria, CA 93455-1775 | Case Manager/Care Coordinator | 2020-09-30 |
Michael Patrick Zeola | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | Child & Adolescent Psychiatry Physician | 2008-11-02 |
Patrick Michael Giguere | 925 S Kerr Ave Ste F, Wilmington, NC 28403-4354 | Acupuncturist | 2014-01-07 |
Tara Maureen Grenon | 4100 W Kennedy Blvd Ste 130, Tampa, FL 33609-2250 | Family Nurse Practitioner | 2025-06-21 |
Michael Patrick Wisienski | 1 Heritage Dr, Southgate, MI 48195-3094 | Behavior Technician | 2025-01-20 |
Michael Patrick Olvera | 4501 X St Ste 3016, Sacramento, CA 95817-2229 | Internal Medicine Physician | 2022-03-28 |
Patrick Michael Stewart | 21651 E Country Vista Dr Ste F, Liberty Lake, WA 99019-7709 | Massage Therapist | 2019-06-04 |
Patrick Michael Lee Jr. | 271 Grove Ave Ste C, Verona, NJ 07044-1729 | Physical Therapist | 2025-06-20 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
Subject | Transparency and Disclosure |
Jurisdiction | Federal |
Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |