GRAINGER S LANNEAU JR.


Address: 1130 S. Hickory Street Suite B, Melbourne, FL 32901-5417
Phone: 3217250944

GRAINGER S LANNEAU JR. (NPI# 1801983275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801983275
Entity Type Individual
Full Name GRAINGER S LANNEAU JR.
Credential MD
Practice Address 1130 S. Hickory Street Suite B
Melbourne
FL 32901-5417
Mailing Address 3300 S Fiske Blvd
Rockledge
FL 32955-4306
Practice Telephone 3217250944
Practice Fax Number 3214347590
Enumeration Date 2006-10-06
Last Update Date 2020-02-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207VX0201X Obstetrics & Gynecology
Specialization: Gynecologic Oncology
ME135402 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 024274900 05
FL MEDICARE JH796Z 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
825 Ne 10th St, Oupb3300, Oklahoma City, OK 731045417 4052719494

Office Location

Street Address 1130 S. HICKORY STREET SUITE B
City MELBOURNE
State FL
Zip Code 32901-5417

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467062943 George Pappas Anesthesiologist Assistant 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 2020-08-09
1124676820 Abbi Dell Lee Behavioral Analyst 3251 Engineering St, Melbourne, FL 32901 2019-08-27
1750856878 Jeffrey Michael Cavanagh Behavior Technician 3251 Engineering Street, Melbourne, FL 32901 2018-10-04
1740766021 Amanda Miller Behavior Technician 1885 W Hibiscus Blvd, Melbourne, FL 32901 2018-07-19
1396244406 Dragen II LLC Urology 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 2018-02-03
1225550692 Cabrit Psychotherapy Services LLC Marriage & Family Therapist 100 Rialto Place, Suite 700, Melbourne, FL 32901 2017-07-07
1487188058 Project Response, Inc. Clinic/Center 747 S. Apollo Boulevard, Melbourne, FL 32901 2017-04-20
1184174575 Paulette Swanson Physical Therapist 611 East Sheridan Rd, Melbourne, FL 32901 2016-10-10
1841747839 Nicholas Wilson Social Worker 3661 S. Babcock St., Melbourne, FL 32901 2016-09-07
1467804278 Nickolas Hetherington Occupational Therapist 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 2016-07-05
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Taxonomy Information

Taxonomy Code 207VX0201X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Gynecologic Oncology

Taxonomy Definition

An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174596167 John J Bomalaski Md Pa Obstetrics & Gynecology 7000 Spyglass Ct, Suite 300, Melbourne, FL 32940-8288 2006-02-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1487168233 Gynecologic Oncology & Urogynecology Obstetrics & Gynecology 1150 N 35th Ave Ste 670, Hollywood, FL 33021 2017-11-30
1851738793 Christopher De Haydu Obstetrics & Gynecology 1121 Nw 14th St Dept Gyn, Miami, FL 33136-2106 2013-06-02
1811330897 Maria Paula Ruiz Obstetrics & Gynecology 6400 W Newberry Rd Ste 103, Gainesville, FL 32605-4384 2013-04-09
1992005086 Jocelyn Garcia-sayre Obstetrics & Gynecology 5000 University Dr Ste 3300, Coral Gables, FL 33146-2008 2010-10-24
1063641827 Kenneth Daniel Webster Obstetrics & Gynecology 3825 Sw 86th St., Gainesville, FL 32608-7901 2009-07-14
1942444526 Mostafa A Selim Obstetrics & Gynecology 338 Wellington Dr., Palm Coast, FL 32164 2009-04-27
1063670255 Women's Choice Oncology, Pllc Obstetrics & Gynecology 3425 University Parkway Unit 102, Sarasota, FL 34243 2008-05-25
1912197641 Gyn Oncology Associates Pl Obstetrics & Gynecology 2617 Mitcham Dr Ste 101, Tallahassee, FL 32308-5479 2007-07-30
1336368547 Stacey Ann South Obstetrics & Gynecology 3425 University Pkwy Unit 102, Sarasota, FL 34243-4271 2007-04-25
1982766044 Philip Townsend Md Pa Obstetrics & Gynecology 675 Harvard St, Brooksville, FL 34601-2823 2006-12-15
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Competitor

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City MELBOURNE
Zip Code 32901

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Dataset Information

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.

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