GRANT R SCHAMBURG (NPI# 1548741499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548741499 |
| Entity Type | Individual |
| Full Name | GRANT R SCHAMBURG |
| Credential | AAT |
| Practice Address |
1307 W Aries Rd Edmond OK 73003-7300 |
| Mailing Address |
100 N University Dr Edmond OK 73034-5207 |
| Practice Telephone | 5807749333 |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2018-08-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1307 W ARIES RD |
| City | EDMOND |
| State | OK |
| Zip Code | 73003-7300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945202 | Korbin Hally | Dentist | 2600 Tayler Street, Edmond, OK 73003 | 2020-06-04 |
| 1003448325 | Diagnostic Resources, LLC | Physical Medicine & Rehabilitation | 1641 Saratoga Way, Edmond, OK 73003 | 2020-02-05 |
| 1861904021 | Rhonda Diane Pennington | Occupational Therapist | 515 S Santa Fe Ave Ste 103, Edmond, OK 73003 | 2017-10-27 |
| 1588173744 | Hpc Holdings LLC | Clinic/Center | 813 W Covell Rd, Edmond, OK 73003 | 2017-09-20 |
| 1194243568 | Nightengale Chiropractic, LLC | Chiropractor | 2616 Covell Village Dr Ste. 120, Edmond, OK 73003 | 2017-09-06 |
| 1104274927 | Bonsu Osei Asibey | Case Manager/Care Coordinator | 1301 Craig Blvd, Edmond, OK 73003 | 2016-06-02 |
| 1215390810 | Prince Yebo | Case Manager/Care Coordinator | 1817 Redland Dr, Edmond, OK 73003 | 2016-03-31 |
| 1548621691 | Charles Loftis | Physical Therapist | 1321 Fretz Drive, 100, Edmond, OK 73003 | 2016-03-17 |
| 1487013801 | Courage Counseling Center | Community/Behavioral Health | 1400 S. Fretz Ave, Suite 1400, Edmond, OK 73003 | 2016-02-12 |
| 1669889887 | Shannon Gogel | Occupational Therapy Assistant | 1309 Val Genes Rd, Edmond, OK 73003 | 2014-07-21 |
| Find all providers in zip 73003 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497672 | Colton Want | Student in an Organized Health Care Education/Training Program | 833 San Simeon Dr, Edmond, OK 73003-5943 | 2020-11-06 |
| 1952910143 | Andrew Young | Student in an Organized Health Care Education/Training Program | 1417 Harding Ave, Edmond, OK 73013-6365 | 2020-07-24 |
| 1962024638 | Maaz Khan | Student in an Organized Health Care Education/Training Program | 513 Nw 156th Cir, Edmond, OK 73013-2087 | 2020-05-15 |
| 1942821608 | Shanna Lynne Rolfs | Student in an Organized Health Care Education/Training Program | 1825 Mission Rd, Edmond, OK 73034-6580 | 2020-05-04 |
| 1962023648 | Melissa Onyekuru | Student in an Organized Health Care Education/Training Program | 1720 Nw 179th St, Edmond, OK 73012-4151 | 2020-05-04 |
| 1609497437 | Zachary Scott Windorf | Student in an Organized Health Care Education/Training Program | 7107 Hollow Brook Dr, Edmond, OK 73025-1854 | 2020-05-04 |
| 1275154072 | Raza Khan | Student in an Organized Health Care Education/Training Program | 216 Nw 151st Pl, Edmond, OK 73013-1163 | 2020-05-03 |
| 1164043964 | India Alexandra Loyd | Student in an Organized Health Care Education/Training Program | 1204 Copper Rock Dr, Edmond, OK 73025-2940 | 2020-05-03 |
| 1902427701 | Kelsi Pat Fitzgerrald Williams | Student in an Organized Health Care Education/Training Program | 12924 S Santa Fe Ave, Edmond, OK 73025-1589 | 2020-05-03 |
| 1306467105 | Sawyer Vaclaw | Student in an Organized Health Care Education/Training Program | 14025 N Eastern Ave Apt 2621, Edmond, OK 73013-3512 | 2020-05-03 |
| Find all providers in EDMOND | ||||
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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.