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GORDON GRENN D.O., P.A.
NPI 1326348681
Family Medicine in Lake Worth, FL

Active since November 02, 2010CLIA 10D0288488 · Waiver
4002 RAULERSON DR, LAKE WORTH, FL 33463(561) 964-4077(561) 964-9296 Get Directions Write a Review

NPPES record last updated: May 17, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gordon Grenn D.o., P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GORDON GRENN D.O., P.A. (NPI 1326348681) is a healthcare organization registered as a family medicine in Lake Worth, Florida and active in the NPI registry since November 2010. The organization holds a CLIA Waiver certificate valid through May 22, 2027 and lists Gordon L. Grenn, Doctor, as its authorized official.

NPPES Registry Identity

NPI1326348681
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGORDON GRENN D.O., P.A.
Location Address4002 RAULERSON DRLake Worth, FL 33463-8927
Mailing Address4002 Raulerson DrLake Worth, FL 33463-8927 · (561) 964-4077 · Fax (561) 964-9296
Phone(561) 964-4077
Fax(561) 964-9296
Organization SubpartNo
Authorized OfficialGordon L. GrennDoctor · (561) 964-4077
Enumeration DateNovember 2, 2010
Last NPPES UpdateMay 17, 2011
✔ NPI 1326348681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · OS0003345
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4002 RAULERSON DR, Lake Worth, FL 33463
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Other Identifiers 1

Medicaid265885200FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Molina Healthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0288488

Gordon Grenn Do PA · Lake Worth, FL
Active · expires May 22, 2027
CLIA Number10D0288488
Laboratory TypePhysician Office
Certificate Effective DateMay 23, 2025
Certificate Expiration DateMay 22, 2027
Laboratory DirectorGordon Grenn Do
Laboratory Phone(561) 964-4077
Laboratory LocationGordon Grenn Do PA4002 Raulerson Dr, Lake Worth, FL 33463
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHERRI JENSEN ARNP
Family Medicine (Geriatric Medicine)
4002 RAULERSON DR
GREENACRES, FL 33463
Palm Beach County (561) 964-4077
GORDON L GRENN
Family Medicine
4002 RAULERSON DR
LAKE WORTH, FL 33463
Palm Beach County (561) 964-4077

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gordon Grenn D.O., P.A.'s NPI number?

The NPI number for Gordon Grenn D.O., P.A. is 1326348681. It was assigned to this organization in the NPPES registry on November 2, 2010.

Where is Gordon Grenn D.O., P.A. located?

Gordon Grenn D.O., P.A. is located at 4002 Raulerson Dr, Lake Worth, FL 33463. The listed phone number is (561) 964-4077.

What is Gordon Grenn D.O., P.A.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Gordon Grenn D.O., P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0288488) is associated with this NPI, valid through May 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Gordon Grenn D.O., P.A. accept?

Health plans from AmeriHealth Caritas Next and Molina Healthcare list Gordon Grenn D.O., P.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gordon Grenn D.O., P.A. was last updated on May 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.