JUSTIN GRANT (NPI# 1275913147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275913147 |
| Entity Type | Individual |
| Full Name | JUSTIN GRANT |
| Credential | D.O. |
| Practice Address |
1010 N Kansas St Wichita KS 67214-3124 |
| Practice Telephone | 3168583460 |
| Mailing Telephone | (316) 858-3460 |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2017-09-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 94-08626 | KS | Allopathic & Osteopathic Physicians |
| Street Address |
1010 N KANSAS ST |
| City | WICHITA |
| State | KS |
| Zip Code | 67214-3124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770557894 | Brenda A Issa | Pediatrics | 1010 N Kansas St, Wichita, KS 67214-3124 | 2006-02-15 |
| 1144845736 | Daniel Yassa | Pediatrics | 1010 N Kansas St, Wichita, KS 67214-3124 | 2020-06-10 |
| 1912522780 | Zachary Donoviel | Orthopaedic Surgery | 1010 N Kansas St, Wichita, KS 67214-3124 | 2020-06-08 |
| 1205451085 | David Masolak | Psychiatry & Neurology | 1010 N Kansas St, Wichita, KS 67214-3124 | 2020-06-08 |
| 1891310678 | Beau Fry | Family Medicine | 1010 N Kansas St, Wichita, KS 67214-3124 | 2020-06-08 |
| 1861016834 | Abhiram Challa | Internal Medicine | 1010 N Kansas St, Wichita, KS 67214-3124 | 2020-06-04 |
| 1598389611 | Garrett Westman | Family Medicine | 1010 N Kansas St, Wichita, KS 67214-3124 | 2020-06-04 |
| 1174147318 | Garrett Walker | Family Medicine | 1010 N Kansas St, Wichita, KS 67214-3124 | 2020-06-03 |
| 1003430331 | Javanthi Theegala | Psychiatry & Neurology | 1010 N Kansas St, Wichita, KS 67214-3124 | 2020-06-02 |
| 1932722394 | Nicholas Tuck | Internal Medicine | 1010 N Kansas St, Wichita, KS 67214-3124 | 2020-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124591185 | Laquita Patrice Boyede | Durable Medical Equipment & Medical Supplies | 1503 Northeast Parkway, Wichita, KS 67214 | 2019-01-02 |
| 1891270674 | Kathryn Denise Boomer | Physician Assistant | 929 St. Francis N, Wichita, KS 67214 | 2018-09-27 |
| 1447756457 | Cardinal Health 132 LLC | Pharmacy | 527 N Grove Street, Suite 100, Wichita, KS 67214 | 2018-03-30 |
| 1023517174 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 3243 E Murdock Street, Level G, Wichita, KS 67214 | 2018-02-05 |
| 1558887901 | Shonnetta Lachan Gabriel | Counselor | 2707 E. 21st St. N, Wichita, KS 67214 | 2017-08-17 |
| 1417492174 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 803 N Broadway Ave, Wichita, KS 67214 | 2017-01-04 |
| 1952850653 | Rachel J Johnson | Counselor | 805 N Volutsia, Wichita, KS 67214 | 2016-09-23 |
| 1063899813 | Christy Lee Foos | Social Worker | 2707 E. 21st St. North, Healthcore Clinic, Wichita, KS 67214 | 2015-04-30 |
| 1952708018 | William Schroeder Fargo | Specialist | 701 N. Emporia, Wichita, KS 67214 | 2014-12-04 |
| 1447692710 | Valeriya V Hunter | Dentist | 527 N Grove, Wichita, KS 67214 | 2013-07-26 |
| Find all providers in zip 67214 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598370892 | River City Osteopathic Clinic | Family Medicine | 401 E 1st St, Wichita, KS 67202-2501 | 2020-09-14 |
| 1477108603 | Laurie Irene Haury | Family Medicine | 818 N Emporia St Ste 107, Wichita, KS 67214-3725 | 2019-08-05 |
| 1437546173 | Nguyen Family Medicine LLC | Family Medicine | 1431 S Bluffview Dr Ste 212, Wichita, KS 67218-3039 | 2015-04-21 |
| 1427447853 | Safia Lyon | Family Medicine | 12115 E 21st St N Ste 107, Wichita, KS 67206-3571 | 2015-01-22 |
| 1841628013 | Joseph Michael Stech | Family Medicine | 940 S. St. Francis, Guadalupe Clinic, Wichita, KS 67211 | 2013-10-24 |
| 1134496193 | Wichita Pain Associates Pa | Family Medicine | 2548 N Maize Ct, Suite 104, Wichita, KS 67205-7347 | 2011-11-18 |
| 1831485317 | Nicholas Andrew Tomsen | Family Medicine | 1126 S Clifton Ave, Wichita, KS 67218-2913 | 2011-06-23 |
| 1538454905 | Michael C Scheve | Family Medicine | 2135 N Ridge Rd Ste 400, Wichita, KS 67212-1404 | 2011-06-14 |
| 1124347083 | Joshua Tibbe | Family Medicine | 5000 S Clifton Ave, Ste 200, Wichita, KS 67216-3408 | 2010-05-18 |
| 1912233594 | Amity Health, LLC | Family Medicine | 7200 W 13th St N Ste 5, Wichita, KS 67212-2968 | 2009-11-02 |
| Find all providers in WICHITA | ||||
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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.