Granada Emergency Physicians
Granada Emergency Physicians is a healthcare organization registered as Emergency Medicine Physician in Ormond Beach, FL, holding Type 2 (organization) NPI 1689623407 since 2006. The authorized official on file is Terry Meadows, Vice President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1689623407 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Granada Emergency Physicians |
| Practice address | 875 STERTHAUS AVE, Ormond Beach, FL, 32174 |
| Phone | 3866766022 |
| Fax | 3866766255 |
| Enumeration date | 2006-05-09 |
| Last updated in NPPES | 2008-05-13 |
Authorized official
| Name | Terry Meadows |
|---|---|
| Title | Vice President |
| Phone | 8005078874 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 269147700 | Medicaid | FL | — |
Copy-ready billing details
Provider: Granada Emergency Physicians NPI: 1689623407 Taxonomy: 207P00000X (Emergency Medicine Physician) Address: 875 STERTHAUS AVE, Ormond Beach, FL, 32174
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1568456101 | John Newman | Individual | Certified Registered Nurse Anesthetist | Ormond Beach, FL |
| 1629027487 | Emcare Physician Providers, Inc. | Organization | Emergency Medicine Physician | Ormond Beach, FL |
| 1912959917 | Anthony Costarella | Individual | Emergency Medicine Physician | Ormond Beach, FL |
| 1447204789 | Frederick Brown | Individual | Emergency Medicine Physician | Ormond Beach, FL |
| 1972558419 | Gordon Forbes | Individual | Emergency Medicine Physician | Ormond Beach, FL |
| 1871549725 | William Gilmer | Individual | Emergency Medicine Physician | Ormond Beach, FL |
| 1760438832 | Raul Lopez | Individual | Emergency Medicine Physician | Ormond Beach, FL |
| 1528015757 | Muhammed Anwer | Individual | Specialist | Ormond Beach, FL |
Verify this record
Cross-check NPI 1689623407 against the authoritative CMS record: view Granada Emergency Physicians on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Granada Emergency Physicians located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-05-13.