Healthcare Provider Details

I. General information

NPI: 1487865994
Provider Name (Legal Business Name): FRANK N GRISAFI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2007
Last Update Date: 03/26/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1030 BEANER HOLLOW RD
BEAVER PA
15009-9723
US

IV. Provider business mailing address

1030 BEANER HOLLOW RD
BEAVER PA
15009-9723
US

V. Phone/Fax

Practice location:
  • Phone: 724-775-4242
  • Fax: 724-775-4960
Mailing address:
  • Phone: 724-775-4242
  • Fax: 724-775-4960

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License NumberMDMT191943
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number35.094908
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License NumberMD442965
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: