DR. THOMAS ARCHIE GRANT (NPI# 1710238100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710238100 |
Entity Type | Individual |
Full Name | DR. THOMAS ARCHIE GRANT |
Credential | M.D. |
Practice Address |
9392 Stonebriar Cir Shreveport LA 71115-3728 |
Practice Telephone | 3187950406 |
Mailing Telephone | 3187950406 |
Enumeration Date | 2012-09-25 |
Last Update Date | 2012-09-25 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
09226 | LA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346416757 | Thomas E Grant | Psychologist | 10 Katherine Gaylord Ln, Burlington, CT 06013-1409 | 2008-05-06 |
1255381729 | Thomas P Grant | Dentist | 1710 E 32nd St, Joplin, MO 64804-4101 | 2006-05-12 |
1992769046 | Thomas Earl Grant Jr. | Chiropractor | 4700 S 900 E, Suite 41g, Salt Lake City, UT 84117-4959 | 2006-04-14 |
1013997485 | Thomas R Grant | Specialist | 3110 Wellons Blvd, New Bern, NC 28562-5247 | 2006-01-20 |
1316587207 | Thomas Jonathan Grant | Registered Nurse | 2581 Atlantic Ave, Brooklyn, NY 11207-2412 | 2020-01-09 |
1932456084 | Thomas Brandon Grant | Dentist | 908 Palm Blvd S, Niceville, FL 32578-2603 | 2012-08-08 |
1407059132 | Thomas R Grant | Social Worker | 147 Durham Rd, Madison, CT 06443-2675 | 2007-06-08 |
1437236247 | Thomas H Grant | Psychologist | 257 Main St, New Paltz, NY 12561-1610 | 2006-11-01 |
1144258013 | Thomas Grant | Radiology | 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611-4546 | 2006-06-29 |
1427022169 | Thomas Russell Grant | Family Medicine | 825 Fairfax Ave, Norfolk, VA 23507-1914 | 2006-02-16 |
Street Address |
9392 STONEBRIAR CIR |
City | SHREVEPORT |
State | LA |
Zip Code | 71115-3728 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740829217 | Bno Surgical Consultants, LLC | Physician Assistant | 303 Captain Hm Shreve Blvd, Shreveport, LA 71115 | 2020-01-02 |
1902310899 | Islam LLC | General Acute Care Hospital | 9815 Paragon Ln, Shreveport, LA 71115 | 2017-11-30 |
1508304569 | Marcel White | Case Manager/Care Coordinator | 9050 Youree Dr, Apt 105, Shreveport, LA 71115 | 2017-02-09 |
1114392784 | Marilyn Sparks | Counselor | 9999 Smitherman Dr Apt 502, Shreveport, LA 71115 | 2015-12-08 |
1699031237 | Cody Tingle | Internal Medicine | 8001 Youree Dr Ste 400, Shreveport, LA 71115 | 2012-04-09 |
1629366885 | Pankaj Sharma | Psychiatry & Neurology | Department of Neurology, Lsuhsc Shreveport, 1501 Kings Highway, Shreveport, LA 71115 | 2011-07-21 |
1396914750 | Lisa L Jawahar | Radiologic Technologist | 429 Creek Holw, Shreveport, LOUISIANA 71115 | 2008-02-29 |
1720291412 | Larry Kenneth Robinson Jr. | Dentist | 8856 Youree Dr, Suite C, Shreveport, LA 71115 | 2007-05-08 |
1952471609 | Shining Star Professional Services Inc | Social Worker | 9050 Youree Drive, #1004, Shreveport, LA 71115 | 2006-11-09 |
1922178854 | Akee Lj Jackson | Social Worker | 9050 Youree Dr. #1004, Shreveport, LA 71115 | 2006-11-08 |
Find all providers in zip 71115 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801393590 | Sterling Spine, LLC | Radiology | 708 N Ashley Ridge Loop Ste 400, Shreveport, LA 71106-7234 | 2018-04-09 |
1992046148 | Benjamin Vickers | Radiology | 8601 Rampart Pl, Shreveport, LA 71106-6227 | 2013-03-13 |
1053659672 | Lacy Holmes Williams | Radiology | 416 Travis St, Suite 1200, Shreveport, LA 71101-3282 | 2013-01-17 |
1174569412 | Ginger Auer-baker | Radiology | 708 N Ashley Ridge Loop, Suite #400, Shreveport, LA 71106-7234 | 2006-06-22 |
1932108578 | Open Mri of Northwest Louisiana LLC | Radiology | 855 Pierremont Rd, Suite 105, Shreveport, LA 71106-2084 | 2005-07-15 |
1548656465 | Evangeline Clinical Services, Inc. | Radiology | 855 Pierremont Rd, Suite 105, Shreveport, LA 71106-2084 | 2015-04-07 |
1619396702 | Aya Al Asfari | Radiology | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2014-04-16 |
1972947166 | Oluwayemisi M. Ojemakinde | Radiology | 1501 Kings Hwy, Internal Medicine, Shreveport, LA 71103-4228 | 2013-04-18 |
1750724555 | Virginia Ann Brown | Radiology | 1501 Kings Hwy, Dept. of Internal Medicine, Shreveport, LA 71103-4228 | 2013-04-10 |
1992048177 | Bayou Imaging & Interventions, LLC | Radiology | 708 N Ashley Ridge Loop, Shreveport, LA 71106 | 2013-04-05 |
Find all providers in SHREVEPORT |
City | SHREVEPORT |
Zip Code | 71115 |
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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.