Michael Patrick Grenon III · Anesthesiologist Assistant

112 Sea Breeze Cir, Merritt Island, FL 32953-2947

Overview

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.

Provider Information

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

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y367H00000XAnesthesiologist Assistant

Taxonomy Information

Primary Taxonomy

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.

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Jasmine Marie Alvarez 1901 Sw 172nd Ave, Miramar, FL 33029-5592Anesthesiologist Assistant2025-08-26
Andrew Lehman Parks 4725 N Federal Hwy # 318, Fort Lauderdale, FL 33308-4668Anesthesiologist Assistant2025-08-25
Tyler Dobrindt 2627 W Eau Gallie Blvd Ste 101, Melbourne, FL 32935-8303Anesthesiologist Assistant2025-06-23
Taylor Jayne Schraub 1245 Orange Ave, Winter Park, FL 32789-4900Anesthesiologist Assistant2025-08-16
Justin Mcnair 230 Squire Ln, Fayetteville, GA 30214-7139Anesthesiologist Assistant2025-08-25
Jesica Rose Ashby 10000 W Colonial Dr, Ocoee, FL 34761-3400Anesthesiologist Assistant2025-08-13
Justin Evans 17000 Porter Rd, Winter Garden, FL 34787-8800Anesthesiologist Assistant2025-08-25
Samuel Isaac Trevino 2820 Michaelangelo Dr, Edinburg, TX 78539-1402Anesthesiologist Assistant2025-08-13
Neo Eusebio Sansone 1000 Johnson Fy Rd Ne, Atlanta, GA 30342-1611Anesthesiologist Assistant2025-09-03
Zachary Thomas Nash 1225 Airport Rd, Destin, FL 32541-2909Anesthesiologist Assistant2025-08-21
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Location Information

Street Address 112 SEA BREEZE CIR
City MERRITT ISLAND
State FL
Zip Code 32953-2947
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Kellie C. Ponder · Kellie Staab 220 N Grove St, Merritt Island, FL 32953-3444Occupational Therapist2012-10-26
Stephanie Ann Fisher 390 N Courtenay Pkwy, Merritt Island, FL 32953-3456Family Nurse Practitioner2024-12-12
Srinivas Prasad 150 N Sykes Creek Pywy, Ste 300, Merritt Island, FL 32953-3488Interventional Cardiology Physician2006-11-01
Stephanie Nicole Rude 270 N Sykes Creek Pkwy Ste 110, Merritt Island, FL 32953-3494Nurse Practitioner2025-01-24
Chloe Anne Bradley 270 N Sykes Creek Pkwy Ste 108, Merritt Island, FL 32953-3494Pediatric Nurse Practitioner2024-05-29
Jessica Martinez-Pompa 1368 Old Mace Road, Patrick Sfb, FL 32953Family Nurse Practitioner2020-01-15
Guillermo I Vallejos 220 N Sykes Creek Pkwy Ste 201, Merritt Island, FL 32953-3490Physical Therapist2011-11-16
Mary Claire Milburn 220 N Grove St, Merritt Island, FL 32953-3444Physical Therapist2010-10-18
Amy Beth Craig 220 N Sykes Creek Pkwy Ste 201, Merritt Island, FL 32953-3490Physical Therapist2012-09-26
Donald Peter Messersmith 150 N Sykes Creek Pkwy, Suite 300, Merritt Island, FL 32953-3488Internal Medicine Physician2006-11-27
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Providers with similar names

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Tara Maureen Grenon 4100 W Kennedy Blvd Ste 130, Tampa, FL 33609-2250Family Nurse Practitioner2025-06-21
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Dataset Information

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

Dataset Details

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.