DR. WALTER KASTLER GRANT III (NPI# 1710092077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710092077 |
| Entity Type | Individual |
| Full Name | DR. WALTER KASTLER GRANT III |
| Other Name | DR. WALTER GRANT III |
| Credential | M.D. |
| Practice Address |
920 Tommy Munro Dr Biloxi MS 39532-2150 |
| Mailing Address |
2500 North State Street Jmm Suite 2525 Jackson MS 39216-4500 |
| Practice Telephone | 2283968101 |
| Practice Fax Number | 6014968101 |
| Mailing Telephone | 6018159528 |
| Mailing Fax Number | 6019846439 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2018-04-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 14991 | MS | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 29157 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00116939 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1285 Spring St, Suite A, Gulfport, MS 395073423 | 2288966441 | 2288966576 |
| Street Address |
920 TOMMY MUNRO DR |
| City | BILOXI |
| State | MS |
| Zip Code | 39532-2150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982978607 | Kristen Elizabeth Wheelock | Nurse Practitioner | 920 Tommy Munro Dr, Biloxi, MS 39532-2150 | 2012-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427693613 | Bloom Mental Health LLC | Nurse Practitioner | 933 Tommy Munro Dr., Suite C, Biloxi, MS 39532 | 2019-11-12 |
| 1003397530 | The National Diabetes & Obesity Research Institute At Tradition, Missi | Dietitian, Registered | 19289 St. Joseph Street, Suite C, Biloxi, MS 39532 | 2018-08-23 |
| 1134588999 | Victoria Leonard Scott | Counselor | 6905 Gregory Dr, Biloxi, MS 39532 | 2016-02-22 |
| 1639552490 | Laura O'keefe | Nurse Practitioner | 1720a Medical Park Dr Ste 150, Biloxi, MS 39532 | 2015-06-29 |
| 1659767150 | D'iberville Home Program LLC | Clinic/Center | 14215 Cook Road, Biloxi, MS 39532 | 2015-04-10 |
| 1467842476 | Alicia Michelle Mcdaniel | Nurse Practitioner | 14209 Cook Rd Suite 200, Biloxi, MS 39532 | 2015-01-28 |
| 1437402393 | Lisa Q. Brown | Occupational Therapist | 680 Bay Cove Drive, Residents At Baycove, Biloxi, MS 39532 | 2012-10-17 |
| 1962759381 | Joshua Shumway | Physical Therapist | 220 Ploesti Dr, Keesler Afb, MS 39532 | 2012-08-06 |
| 1386912483 | Polk's Crossgates Discount Drugs Inc. | Pharmacy | 1845 Popps Ferry Road, Biloxi, MS 39532 | 2011-12-05 |
| 1346566957 | Kerri Lyn Manjarrez | Social Worker | 12304 Tiffany Lane, Biloxi, MS 39532 | 2010-04-08 |
| Find all providers in zip 39532 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720302508 | Gulf Coast Abc Pediatrics, Inc. | Pediatrics | 1024 Tommy Munro Dr Ste A, Biloxi, MS 39532-2157 | 2010-03-23 |
| 1922330372 | Richard Charles Schmidt | Pediatrics | 6207 Herbie Rd, Biloxi, MS 39532-8454 | 2010-02-10 |
| 1639212442 | Joanna Dupont | Pediatrics | 2561 Pass Rd, Biloxi, MS 39531 | 2007-02-14 |
| 1679679864 | Elisabeth Jones Haller | Pediatrics | 1721 Medical Park Dr Ste 200, Biloxi, MS 39532-2105 | 2006-09-15 |
| 1154431351 | Mitchell J Gruich | Pediatrics | 2356 Pass Rd, Suite 300, Biloxi, MS 39531-2236 | 2006-08-30 |
| 1346357498 | Jennifer Leticia Grayson | Pediatrics | 147 Reynoir St Ste 202, Biloxi, MS 39530-4109 | 2006-08-24 |
| 1801888250 | Michael Frederick Hensley | Pediatrics | 761 Esters Blvd, Biloxi, MS 39530-3134 | 2005-08-19 |
| 1295187987 | Diana Rice | Pediatrics | 81 Mdg Keesler Medical Center, 301 Fisher Street, Biloxi, MS 39534-2582 | 2016-07-06 |
| 1003203159 | Daniel Victor-calvin Hammond | Pediatrics | 301 Fisher St, Biloxi, MS 39534 | 2015-04-15 |
| 1255663993 | Memorial Hospital At Gulfport | Pediatrics | 1756 Popps Ferry Rd, Suite A, Biloxi, MS 39532-2118 | 2010-02-05 |
| Find all providers in BILOXI | ||||
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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.