EDMUND G GRANT MD PA (NPI# 1962721761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962721761 |
| Entity Type | Organization |
| Organization Name | EDMUND G GRANT MD PA |
| Practice Address |
13801 Bruce B Downs Blvd Suite 401 Tampa FL 33613-3946 |
| Practice Telephone | 8139718811 |
| Practice Fax Number | 8139716951 |
| Mailing Telephone | 8139718811 |
| Mailing Fax Number | 8139716951 |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2010-08-09 |
| Authorized Official Name | DR. EDMUND GUY GRANT JR. (PRESIDENT) |
| Authorized Official Telephone | 8139718811 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
ME0037350 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 068668900 | 05 |
| Street Address |
13801 BRUCE B DOWNS BLVD SUITE 401 |
| City | TAMPA |
| State | FL |
| Zip Code | 33613-3946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265425904 | Stephen Niles | Family Medicine | 13801 Bruce B Downs Blvd, Ste 201, Tampa, FL 33613-3946 | 2005-08-29 |
| 1255798005 | Kelly Elizabeth Clausing | Physician Assistant | 13801 Bruce B Downs Blvd, Suite 406, Tampa, FL 33613-3946 | 2016-01-25 |
| 1629493085 | Internal Medicine Clinic | Pharmacy | 13801 Bruce B Downs Blvd, Tampa, FL 33613-3946 | 2014-02-21 |
| 1750641494 | Mcilwain Medical Group, Pa | Internal Medicine | 13801 Bruce B Downs Blvd, Suite 406, Tampa, FL 33613-3946 | 2012-05-28 |
| 1598066789 | Stanley A Rosenthal, D.o., P.a. | Pediatrics | 13801 Bruce B Downs Blvd, Suite 301, Tampa, FL 33613 | 2010-11-04 |
| 1316258627 | Todd J Brennan | Podiatrist | 13801 Bruce B Downs Blvd, Suite 205, Tampa, FL 33613-3946 | 2010-07-01 |
| 1134365034 | Womens Care Florida LLP | Obstetrics & Gynecology | 13801 Bruce B Downs Blvd, Suite 201, Tampa, FL 33613-3946 | 2008-12-23 |
| 1629213426 | Florida Cancer Specialists P L | Internal Medicine | 13801 Bruce B Downs Blvd, Unit 106, Tampa, FL 33613-3946 | 2008-12-08 |
| 1356509863 | Tariq Salman | Internal Medicine | 13801 Bruce B Downs Blvd, Suite 104, Tampa, FL 33613-3946 | 2008-05-30 |
| 1982889507 | John A Dietrick M D P L | Surgery | 13801 Bruce B Downs Blvd, Suite 104, Tampa, FL 33613-3946 | 2008-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649877671 | Lisandra Isabelle Raba | Behavior Technician | 3299 Usf Banyan Circle, Tampa, FL 33613 | 2020-10-02 |
| 1184250490 | Stetho Md LLC | Family Medicine | 1707 E Bearss Ave, Tampa, FL 33613 | 2020-03-18 |
| 1174187645 | Renee Pinheiro | Student in an Organized Health Care Education/Training Program | Usf Health Morsani College of Medicine, 12901 Bruce B Downs Blvd. Mdc5, Tampa, FL 33613 | 2019-04-30 |
| 1104388842 | Heartbeat Home Health Care LLC | Home Health | 13542 N Florida Ave Ste 209-b, Tampa, FL 33613 | 2019-04-02 |
| 1437625357 | Carierx LLC | Pharmacy | 15511 N. Florida Avenue, Ste 601, Tampa, FL 33613 | 2018-10-18 |
| 1205312980 | Sabina Vlaeva | Dentist | Affordable Dentures & Implants, 14936 N Florida Avenue Ste 101, Tampa, FL 33613 | 2018-07-16 |
| 1780170266 | Joy M. Alexander | Driver | 14209 Cyber Pl Apt 102, Tampa, FL 33613 | 2018-07-08 |
| 1598289829 | Lillian Perez | Social Worker | 13542 N Florida Avenue, Suite 210, Tampa, FL 33613 | 2017-07-28 |
| 1134640386 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3100 E Fletcher Ave Ste A165, Tampa, FL 33613 | 2017-06-28 |
| 1770016099 | Marcus Bruno | Physician Assistant | 13701 Bruce B Downs Blvd., Tampa, FL 33613 | 2017-04-04 |
| Find all providers in zip 33613 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104387935 | Remyelix Neurology & Multiple Sclerosis Institute, Pllc | Psychiatry & Neurology | 4907 N Florida Ave, Tampa, FL 33603-2119 | 2019-03-26 |
| 1255849055 | Bay Area Neurology LLC | Psychiatry & Neurology | 3225 S Macdill Ave Ste 129-300, Tampa, FL 33629-8171 | 2018-01-15 |
| 1396164042 | Carrie Allison Downey | Psychiatry & Neurology | 13801 Bruce B Downs Blvd Ste 401, Tampa, FL 33613-3997 | 2014-04-09 |
| 1912343310 | Amina Koya Edathodu | Psychiatry & Neurology | 4119 N Armenia Ave, Tampa, FL 33607-6433 | 2013-05-13 |
| 1952600223 | Yazan Mazen Suradi | Psychiatry & Neurology | 2 Tampa General Cir Fl Cir2, Tampa, FL 33606-3603 | 2011-03-25 |
| 1114253796 | Bhavin Patidar | Psychiatry & Neurology | 507 S Macdill Ave Ste 129-300, Tampa, FL 33609 | 2009-11-02 |
| 1942465125 | Bharatkumar Dahyabhai Patel | Psychiatry & Neurology | 6913 Silver Sage Cir, Tampa, FL 33634-1152 | 2008-07-27 |
| 1093976680 | Deborah Finley Boland | Psychiatry & Neurology | 3903 Northdale Blvd Ste 100e, Tampa, FL 33624-1862 | 2008-06-17 |
| 1548438682 | Clara E Cuebas-jimenez | Psychiatry & Neurology | 2835 W. De Leon Street Ste 205, Tampa, FL 33609-4130 | 2008-02-12 |
| 1609061779 | Raphaella Weiser | Psychiatry & Neurology | 3030 N Rocky Point Dr W Ste 150a, Tampa, FL 33607-5803 | 2007-09-11 |
| Find all providers in TAMPA | ||||
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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.