MRS. KATHLEEN ELIZABETH GRANT (NPI# 1700125440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700125440 |
| Entity Type | Individual |
| Full Name | MRS. KATHLEEN ELIZABETH GRANT |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
4422 Third Ave St Barnabas Hospital Bronx NY 10457-2594 |
| Mailing Address |
13160 Mindanao Way Ste 300 Marina Del Rey CA 90292-6393 |
| Practice Telephone | 7189609000 |
| Mailing Telephone | 4254179575 |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2016-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
016371 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538238548 | Kathleen Grant | Specialist | 2100 Webster St Ste 225, San Francisco, CA 94115-2376 | 2006-11-06 |
| 1851605299 | Kathleen Grant | Marriage & Family Therapist | 678 Main St, Redwood City, CA 94063-1922 | 2010-07-27 |
| 1043543077 | Kathleen Elliott Grant | Physical Therapist | 1200 Springfield Dr, Rehab Dept., Chico, CA 95928-6340 | 2009-09-09 |
| 1831305911 | Kathleen A. Grant | Counselor | 316 E Chicago St, Coldwater, MI 49036-2068 | 2007-05-15 |
| 1952487860 | Kathleen Anne Grant | Psychologist | 4450 Carver Woods Dr, Cincinnati, OH 45242-5527 | 2006-10-31 |
| 1063594075 | Kathleen Mary Grant | Internal Medicine | 4101 Woolworth Ave, 11th Floor Sudp, Omaha, NE 68105-1850 | 2006-10-19 |
| Street Address |
4422 THIRD AVE ST BARNABAS HOSPITAL |
| City | BRONX |
| State | NY |
| Zip Code | 10457-2594 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295703601 | Khin Khin Win | Pathology | 4422 Third Ave, St Barnabas Hospital, Bronx, NY 10457 | 2006-03-10 |
| 1942707153 | Rachael Marie Amador | Student in an Organized Health Care Education/Training Program | 4422 Third Ave, Bronx, NY 10457-2594 | 2018-04-12 |
| 1497278790 | Maria Del Mar Lucio Paredes Aulestia | Student in an Organized Health Care Education/Training Program | 4422 Third Ave, Bronx, NY 10457 | 2017-07-19 |
| 1538548615 | Siobhan Connie-jo Powell | Emergency Medicine | 4422 Third Ave, Bronx, NY 10457-2594 | 2015-05-22 |
| 1366839706 | Hye In Nam | Student in an Organized Health Care Education/Training Program | 4422 Third Ave, Barnabas Hospital. Department of Dentistry, Bronx, NY 10457-2594 | 2015-04-23 |
| 1003221037 | John Ellis | Emergency Medicine | 4422 Third Ave, Bronx, NY 10457 | 2014-06-28 |
| 1891097598 | Katherine Wong | Student in an Organized Health Care Education/Training Program | 4422 Third Ave, Mills Building, Bronx, NY 10457 | 2010-12-01 |
| 1700195385 | Kathy Certain Mccook | Physician Assistant | 4422 Third Ave, St. Barnabas Hospital Attn: Medical Staff, Bronx, NY 10457 | 2010-09-30 |
| 1174611826 | Mary M Gratch | Obstetrics & Gynecology | 4422 Third Ave, Bronx, NY 10457 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851722 | Aruna Muthumanickam | Student in an Organized Health Care Education/Training Program | 1650 Grand Concourse, The Bronx, New York City, NY 10457 | 2020-08-11 |
| 1013527753 | Cherine Awad | Student in an Organized Health Care Education/Training Program | 1650 Selwyn Avenue, Bronxcare Health System, Bronx, NY 10457 | 2020-08-07 |
| 1023626926 | Tolulope Oyinlola Olorunsogo | Student in an Organized Health Care Education/Training Program | 1650 Selwyn Avenue - Bronxcare Health System, Departmen, Suite 6h, Bronx, NY 10457 | 2020-07-16 |
| 1750999801 | Kalyan C Chilukuri | Student in an Organized Health Care Education/Training Program | Bronxcare Hospital Center, 1650 Grand Concourse, Bronx, NY 10457 | 2020-07-15 |
| 1003434457 | Nauri Estefani Abreu Roa | Student in an Organized Health Care Education/Training Program | Bronxlebanon Health System, 1650 Grand Concourse, Bronx, NY 10457 | 2020-07-13 |
| 1033737630 | Sapna Sharma | Student in an Organized Health Care Education/Training Program | St. Barnabas Hospital, 4422 Third Avenue Bronx, Bronx, NY 10457 | 2020-07-09 |
| 1194341081 | Asha Tadepalli | Optometrist | 1650 Selwyn Avenue, Suite 1c, Bronxcare Health System, Department of Ophthalmology, Bronx, NY 10457 | 2020-06-17 |
| 1578196549 | Ernesto Murray | Technician | 463 East 178st Apt#3b, Bronx New York, NY 10457 | 2020-02-19 |
| 1245891001 | Muhammad Shahzad | Student in an Organized Health Care Education/Training Program | St. Barnabas Health 4422 Third Avenue, Bronx, NY 10457 | 2019-06-24 |
| 1144886565 | Grant Joseph Gleason | Student in an Organized Health Care Education/Training Program | 4422 3rd Avenue St Barbabas Hospital Dept of Dentistry, Bronx, NY 10457 | 2019-05-10 |
| Find all providers in zip 10457 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629574348 | Viresh Ramnarayan | Physician Assistant | 1970 E Tremont Ave Apt 5c, Bronx, NY 10462-5658 | 2018-04-02 |
| 1871948620 | Klementina Koci | Physician Assistant | 3400 Bainbridge Ave Fl Map33, Bronx, NY 10467-2404 | 2016-04-29 |
| 1134503931 | Lindsay Averill | Physician Assistant | 1400 Pelham Pkwy S Ste 1213, Bronx, NY 10461 | 2015-07-13 |
| 1942693486 | Oumou Drame | Physician Assistant | 785 Courtlandt Ave Apt 15c, Bronx, NY 10451-4324 | 2015-03-09 |
| 1477734804 | Dimitra Mitsianis | Physician Assistant | 234 Eugenio Maria De Hostos 149th St, Department of Surgery, Bronx, NY 10451-5504 | 2007-11-14 |
| 1518151885 | Brenda Jean Vecchione | Physician Assistant | 3rd Ave & 183 St., Bronx, NY 10457 | 2007-08-30 |
| 1467597369 | Kwabena Ntiamoah | Physician Assistant | 1276 Fulton Ave. Bronx Lebanon Hospital, Dept. of Psychiatry, 1276 Fulton Ave, Bronx, NY 10456 | 2007-02-20 |
| 1851443311 | Svetlana Tovt | Physician Assistant | 234 E149 Street, Room 6-20, Bronx, NY 10706 | 2007-01-17 |
| 1649335274 | Andrew Walter Douglas | Physician Assistant | 3rd Ave and 183rd Str, Bronx, NY 10457-2594 | 2006-12-26 |
| 1619584612 | Sallee Reynolds Mathews | Physician Assistant | 600 E 233rd St, Bronx, NY 10466-2604 | 2020-09-24 |
| Find all providers in BRONX | ||||
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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.