MR. JOHN L GRADY (NPI# 1770530743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770530743 |
| Entity Type | Individual |
| Full Name | MR. JOHN L GRADY |
| Credential | MD |
| Practice Address |
1705 Beaucastel Rd Mt Pleasant SC 29464-3657 |
| Practice Telephone | 8438842015 |
| Practice Fax Number | 8438817068 |
| Mailing Telephone | 8438842015 |
| Mailing Fax Number | 8438817068 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2016-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 12617 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 3030 | 05 | |
| RAILROAD MEDICARE | 180005021 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871933291 | John Nolan Grady | Internal Medicine | 7470 Woodlawn Ct, Pass Christian, MS 39571-5539 | 2013-06-29 |
| 1154840981 | John F Grady | Physical Therapist | 7967 Calumet Ave, Munster, IN 46321-1215 | 2017-09-13 |
| 1619362910 | John Patrick Grady | Counselor | 1 W Cliff St, Somerville, NJ 08876-1901 | 2015-04-02 |
| 1023270063 | John Grady | Emergency Medicine | 1555 Soquel Dr, Santa Cruz, CA 95065-1705 | 2008-07-01 |
| 1598926990 | John Marshall Grady | Dentist | 1000 Brooktree Rd, Suite 200, Wexford, PA 15090-9286 | 2008-06-19 |
| 1245439363 | John Robert Grady | Dentist | 522 Water St, Sauk City, WI 53583-1141 | 2007-07-18 |
| 1790846541 | John Carl Grady IIi | Student in an Organized Health Care Education/Training Program | 100 Brewster Blvd, Camp Lejeune, NC 28547-2538 | 2006-12-13 |
| 1194707059 | John F Grady | Podiatrist | 4650 Southwest Hwy, Oak Lawn, IL 60453-1836 | 2005-11-16 |
| Street Address |
1705 BEAUCASTEL RD |
| City | MT PLEASANT |
| State | SC |
| Zip Code | 29464-3657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720461643 | Carolina Eyecare Physicians, LLC | Eyewear Supplier (Equipment, not the service) | 1705 Beaucastel Rd, Mt Pleasant, SC 29464-3657 | 2015-07-09 |
| 1154598977 | Mt Pleasant Ophthalmology | Eyewear Supplier (Equipment, not the service) | 1705 Beaucastel Rd, Mt Pleasant, SC 29464-3686 | 2008-05-12 |
| 1346267945 | Mt Pleasant Ophthalmology | Ophthalmology | 1705 Beaucastel Rd, Mt Pleasant, SC 29464-3657 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811548241 | Bradley Paul Anuszkiewicz | Chiropractor | 1501 Johnnie Dodds Blvd, Suite C, Mount Pleasant, SC 29464 | 2019-09-26 |
| 1447808696 | Laura Mariah Crouse | Speech-Language Pathologist | Coastal Therapy Services, 1127 Queensborough Blvd, Mt Pleasant, SC 29464 | 2019-08-30 |
| 1912461807 | Independent Optical | Optometrist | 1710 Shoremead Rd, Suite 420, Mount Pleasant, SC 29464 | 2019-01-25 |
| 1417446204 | Michael Adam Sugarman | Clinical Neuropsychologist | 1459 Stuart Engals Blvd Ste 204a, Mt Pleasant, SC 29464 | 2018-05-07 |
| 1578064192 | Ancillary Specialists LLC | Durable Medical Equipment & Medical Supplies | 636 Long Point Road, Unit G, #19, Mount Pleasant, SC 29464 | 2018-02-28 |
| 1346769015 | Christin Solomon Zerega | Counselor | Lowcountry Psychiatry Group, 913 Bowman Rd, #4, Mount Pleasant, SC 29464 | 2017-09-14 |
| 1336660315 | Charleston Neuropsychology LLC | Psychologist | 1459 Stuart Engals Blvd., Suite 204a, Mount Pleasant, SC 29464 | 2017-06-29 |
| 1790219970 | Adam Hudepohl | Family Medicine | 1400 Ben Sawyer Blvd, Mt Pleasant, SC 29464 | 2017-04-14 |
| 1386181204 | Alicia Taylor | Speech-Language Pathologist | 381 Stonewall Ct Apt 6207, Mount Pleasant, SC 29464 | 2017-01-30 |
| 1285181941 | Tara Lynn Mast | Physical Therapist | 1400 Caliper Oak Circle, Apt 316, Mount Pleasant, SC 29464 | 2016-09-09 |
| Find all providers in zip 29464 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457589384 | Julie Bullard | Ophthalmology | 874 Whipple Rd Ste 200, Mt Pleasant, SC 29464-8901 | 2009-06-30 |
| 1710094586 | Glaucoma Consultants and Center for Eye Research, Pa | Ophthalmology | 721 Long Point Rd, Suite 407, Mt Pleasant, SC 29464-8297 | 2006-08-25 |
| 1710995543 | John D Gross | Ophthalmology | 613 Long Point Rd, Suite 201, Mt Pleasant, SC 29464-8350 | 2006-08-04 |
| 1881608024 | Kerry D Solomon | Ophthalmology | 1101 Clarity Rd Ste 100, Mt Pleasant, SC 29464-3138 | 2006-07-27 |
| 1316903214 | Elizabeth D Sharpe | Ophthalmology | 242 Mathis Ferry Rd Ste 100, Mt Pleasant, SC 29464-2982 | 2006-04-21 |
| 1154381788 | Thomas R Mather | Ophthalmology | 242 Mathis Ferry Rd, Suite 100, Mt Pleasant, SC 29464-2982 | 2006-03-27 |
| 1477932556 | Mt Pleasant Eye Surgeons LLC | Ophthalmology | 874 Whipple Rd, Suite 200, Mt Pleasant, SC 29464-8900 | 2015-05-22 |
| 1386932945 | John Mackovjak | Ophthalmology | 1535 E Broomfield St, Mt Pleasant, MI 48858-4489 | 2011-07-18 |
| 1992966477 | Carolina Macular and Retinal Care LLC | Ophthalmology | 613 Long Point Rd, Suite 201, Mt Pleasant, SC 29464-8350 | 2008-06-18 |
| 1114192010 | Thomas M Leland Md Pa | Ophthalmology | 578 Lone Tree Dr, Suite 102, Mt Pleasant, SC 29464-8170 | 2008-04-23 |
| Find all providers in MT PLEASANT | ||||
| City | MT PLEASANT |
| Zip Code | 29464 |
Please comment or provide details below to improve the information on MR. JOHN L GRADY.
| 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.