GRANT T. ANDERSON (NPI# 1093946394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093946394 |
| Entity Type | Individual |
| Full Name | GRANT T. ANDERSON |
| Credential | M.D. |
| Practice Address |
100 Hillcrest Medical Blvd Waco TX 76712-8897 |
| Mailing Address |
Po Box 848491 Dallas TX 75284-8491 |
| Practice Telephone | 2542022000 |
| Practice Fax Number | 2542025651 |
| Mailing Telephone | 2547248800 |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2020-09-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | R1339 | TX | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 31214 | AL | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | R1339 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | AL LICENSE NUMBER | 31214 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 101 Sivley Rd Sw, Huntsville, AL 358014421 | 2562653880 | 2562653886 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003279589 | Grant Anderson | Physician Assistant | 211 Indian Lake Bloulevard, Hendersonville, TN 37075 | 2016-04-01 |
| 1326441213 | Grant Anderson Sr. | Secured Medical Transport (VAN) | 4353 Kentucky St, Gary, IN 46409-2339 | 2014-10-06 |
| 1629029889 | Grant Peter Anderson | Family Medicine | 5345 Reno Corporate Dr, Reno, NV 89511 | 2006-05-12 |
| 1508498189 | Grant Anderson | Counselor | 1024 N St, Eureka, CA 95501-2047 | 2020-02-11 |
| 1508413287 | Grant Lesley Anderson | Counselor | 4150 Illinois Rd, Fort Wayne, IN 46804-1208 | 2019-08-19 |
| 1477787174 | Grant Michael Anderson | Chiropractor | 1 5th St Se, Watertown, SD 57201-3714 | 2009-05-08 |
| 1578558946 | Grant A Anderson | Physician Assistant | 3307 Barada St, Falls City, NE 68355-2470 | 2005-09-13 |
| Street Address |
100 HILLCREST MEDICAL BLVD |
| City | WACO |
| State | TX |
| Zip Code | 76712-8897 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639177462 | Tamsak Kanoklukul | Nurse Anesthetist, Certified Registered | 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 | 2005-07-14 |
| 1851992184 | Heather Ann Johnson | Registered Nurse | 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 | 2020-11-03 |
| 1013542372 | Samuel Kelly | Anesthesiologist Assistant | 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 | 2020-03-06 |
| 1902457047 | Megan R Fortenberry | Nurse Practitioner | 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 | 2019-09-20 |
| 1275188732 | Betty Jean Gonzalez | Nurse Practitioner | 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 | 2019-08-01 |
| 1073166559 | Ricardo G Altahif Jr. | Occupational Therapist | 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 | 2019-07-23 |
| 1184286148 | Julia Melee Jones | Physician Assistant | 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 | 2019-06-30 |
| 1194386870 | Daniel Roy Beane | Anesthesiologist Assistant | 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 | 2019-06-24 |
| 1376100875 | Meryl Lee Boutte | Anesthesiology | 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 | 2019-05-21 |
| 1982178018 | Kenneth James Roeger | Nurse Anesthetist, Certified Registered | 100 Hillcrest Medical Blvd, Waco, TX 76712 | 2019-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922634294 | Waco Ophthalmology, Pllc | Ophthalmology | 602 W Highway 6, Waco, TX 76712 | 2020-03-19 |
| 1326692872 | Oceans Behavioral Hospital of Waco LLC | Psychiatric Hospital | 5931 Crosslake Parkway, Waco, TX 76712 | 2019-08-01 |
| 1831759620 | Jessica Ngoc Vien | Optometrist | 1000 Hwy 6, Ste 210, Waco, TX 76712 | 2019-06-14 |
| 1780150888 | Chelsea Cannon | Occupational Therapist | 330 W State Hwy 6, Waco, TX 76712 | 2018-10-17 |
| 1669955399 | Elizabeth Ann Barnhill | Speech-Language Pathologist | 15003 Riatta Rd, Woodway, TX 76712 | 2018-09-09 |
| 1447731617 | Melanie A Melton | Physical Therapist | 300 West Highway 6, Waco, TX 76712 | 2018-08-27 |
| 1396226403 | Gala Kaye Czajkoski | Occupational Therapy Assistant | 300 West Hightway 6, Waco, TX 76712 | 2018-08-27 |
| 1619457454 | Monica Anderson | Physical Therapy Assistant | 300 W Hwy 6, Waco, TX 76712 | 2018-08-21 |
| 1295238368 | Waco Sn Opco LLC | Skilled Nursing Facility | 7501 Bagby, Waco, TX 76712 | 2018-03-14 |
| 1558872952 | C. Guy Fps, Pllc | Otolaryngology | 1129 Aberdeen Rd, Waco, TX 76712 | 2017-10-12 |
| Find all providers in zip 76712 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851798805 | Michelle R Felan-palmer | Hospitalist | 100 Hillcrest Medical Blvd, Waco, TX 76712 | 2014-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323412 | Dimas Med LLC | Hospitalist | 31313 Fm 506, La Feria, TX 78559-6131 | 2020-07-22 |
| 1659992568 | Aa Health Pllc | Hospitalist | 23119 W Interstate 10 Bldg 904, San Antonio, TX 78257-1767 | 2020-05-01 |
| 1295363497 | Memorial Hermann Hospital Based Physician Group | Hospitalist | 929 Gessner Rd Ste 2700, Houston, TX 77024-2593 | 2020-04-01 |
| 1972134617 | Harriscare Medical Group Pllc | Hospitalist | 220 Blanco Street, Lumberton, TX 77657 | 2020-01-31 |
| 1568006328 | Pac Physicians Pllc | Hospitalist | 18731 Millhollow, San Antonio, TX 78258-4256 | 2019-11-04 |
| 1790328979 | Manali Healthcare Pllc | Hospitalist | 6913 Camp Bowie Blvd Ste 171, Fort Worth, TX 76116-7165 | 2019-10-21 |
| 1427601814 | Inayah Healthcare LLC | Hospitalist | 707 N. Waldrip Street, Grand Saline, TX 75140 | 2019-07-24 |
| 1043877384 | Samantha Marie Morgan | Hospitalist | 923 College Ave Ste 103, Fort Worth, TX 76104-3051 | 2019-05-22 |
| 1255802963 | Jennifer Cockrum | Hospitalist | Bsa Hospitalist, 1600 Wallace Blvd., Amarillo, TX 79106 | 2018-12-07 |
| 1912482167 | Premier Hospitalists, Pllc | Hospitalist | 1601 W. Trenton Rd Suite L, Mcallen, TX 78503 | 2018-10-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.