DR. GEORGE R GRANT (NPI# 1376565788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376565788 |
| Entity Type | Individual |
| Full Name | DR. GEORGE R GRANT |
| Credential | MD |
| Practice Address |
1000 Health Center Drive Mattoon IL 61938-0372 |
| Mailing Address |
320 E Highway 50 O Fallon IL 62269-2704 |
| Practice Telephone | 2172582551 |
| Practice Fax Number | 2172582256 |
| Mailing Telephone | 6186243368 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2012-03-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 2001022239 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235469644 | George K Grant | Military Health Care Provider | 195 Michelle Ln, Apt 304, Groton, CT 06340-4278 | 2010-01-06 |
| 1356595003 | George Melville Grant | Social Worker | 126 Midwood St, Brooklyn, NY 11225-5010 | 2008-11-07 |
| 1407918139 | George Grant | Optometrist | 180 Mingarry Dr, Richmond Hill, GA 31324-5121 | 2006-12-16 |
| 1134768880 | George Grant | Counselor | 301 S Livingston Ave Fl 2, Livingston, NJ 07039-3932 | 2019-12-29 |
| 1720253099 | George Grant | Counselor | 2814 Aldine Bender Rd, Houston, TX 77032-3502 | 2008-04-28 |
| 1871566984 | George M Grant | Dentist | 310 Stagecoach Trl, Suite 600, San Marcos, TX 78666-5134 | 2006-02-09 |
| Street Address |
1000 HEALTH CENTER DRIVE |
| City | MATTOON |
| State | IL |
| Zip Code | 61938-0372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326276486 | Sergio M. Rodriguez | Family Medicine | 1000 Health Center Drive, Mattoon, IL 61938-9253 | 2009-06-29 |
| 1225266422 | Mussarat J. Bukhari | Family Medicine | 1000 Health Center Drive, Mattoon, IL 61938-9253 | 2009-06-25 |
| 1467506261 | Robert G Ludwig II | Nurse Anesthetist, Certified Registered | 1000 Health Center Drive, Surgery/anesthesia Department, Mattoon, IL 61938-0372 | 2007-01-22 |
| 1881784262 | John David Schmale | Internal Medicine | 1000 Health Center Drive, Mattoon, IL 61938 | 2006-10-13 |
| 1811082886 | Seong R Cho | Internal Medicine | 1000 Health Center Drive, Radiation Dept., Mattoon, IL 61938-0372 | 2006-10-04 |
| 1619069507 | Thomas Gray | Nurse Anesthetist, Certified Registered | 1000 Health Center Drive, Anesthesiology Department, Mattoon, IL 61938 | 2006-09-28 |
| 1679590269 | Andrew Z. Zasada | Emergency Medicine | 1000 Health Center Drive, Mattoon, IL 61938 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831134 | St Anthony's Memorial Hospital of The Hospital Sisters of The Third Or | Clinic/Center | 101 Coles Centre Pkwy, Ste 101, Mattoon, IL 61938 | 2020-04-30 |
| 1215436449 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 300 Coles Centre Pkwy, Mattoon, IL 61938 | 2018-02-02 |
| 1841707726 | Mattoon Chiropractic LLC | Chiropractor | 905 Remington Rd, Mattoon, IL 61938 | 2018-01-02 |
| 1164892758 | Dr. Charles L. Schnibben Ltd. | Dentist | 1502 Lakeland Blvd, Mattoon, IL 61938 | 2015-09-25 |
| 1982000139 | Judy A. Clark | Hearing Instrument Specialist | 1302 Charleston Avenue, Audibel Hearing Aids, Mattoon, IL 61938 | 2014-11-17 |
| 1023419884 | Christopher Steven Lillie | Physician Assistant | 200 Richmond Ave East, Family Medical Center, Mattoon, IL 61938 | 2014-09-11 |
| 1295055168 | Jennifer Harp | Mechanotherapist | 232 Richmond Ave East, Mattoon, IL 61938 | 2010-06-02 |
| 1447482682 | Gene Clark Hearing Aid Service | Hearing Aid Equipment | 208 Wabash, Mattoon, IL 61938 | 2009-08-21 |
| 1326229774 | Central Illinois Family Health Center | Nurse Practitioner | 10555 East County Rd 800 North, Mattoon, IL 61938 | 2007-11-14 |
| 1568656445 | Bernie Ranchero | Family Medicine | 1004 Health Center Dr Ste 210, Mattoon, IL 61938 | 2007-09-04 |
| Find all providers in zip 61938 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477000651 | Seecure Billing Md PC | Emergency Medicine | 1509 Lake Land Blvd, Mattoon, IL 61938-5913 | 2016-09-06 |
| 1558386961 | Douglas Kabbes | Emergency Medicine | 200 Richmond Ave E, Mattoon, IL 61938 | 2006-07-13 |
| 1447510805 | George Issac Plamoottil | Emergency Medicine | 1000 Health Center Dr, Mattoon, IL 61938-9261 | 2012-05-20 |
| 1407146657 | Brent M Weber | Emergency Medicine | 1000 Health Center Dr, Mattoon, IL 61938-9261 | 2011-04-08 |
| 1841589165 | Joshua Aaron Novak | Emergency Medicine | 1000 Health Center Dr, Mattoon, IL 61938-9261 | 2011-04-07 |
| 1750531638 | Nicole Y Ottens | Emergency Medicine | 1000 Health Center Dr, Mattoon, IL 61938-9261 | 2008-09-26 |
| 1790976918 | Aziz Ahmed | Emergency Medicine | 1000 Health Center Dr, Mattoon, IL 61938-9261 | 2007-08-05 |
| 1932300548 | Joni D. Ferguson | Emergency Medicine | 1000 Health Center Dr, Mattoon, IL 61938-9261 | 2007-05-30 |
| 1215159744 | Aja Lystila | Emergency Medicine | 2512 Hurst Dr., Family Medicine, Mattoon, IL 61938-9388 | 2007-05-03 |
| 1427164144 | Michael Lamonto | Emergency Medicine | 1000 Health Center Dr, Mattoon, IL 61938-9261 | 2006-08-23 |
| Find all providers in MATTOON | ||||
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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.