Robert N Grant (NPI# 1053392688, PAC ID# 2860534203) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1053392688 |
| PAC ID by PECOS | 2860534203 |
| Professional Enrollment ID | I20100122000229 |
| Full Name | Robert N Grant |
| Organization Legal Name | SHANNON CLINIC |
| Address |
2020 Pulliam St San Angelo TX 76905-5148 |
| Phone Number | 3256597290 |
| Gender | M |
| Medical School | DUKE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1962 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 0840103727 |
| Number of Group Practice Members | 283 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450571 | SHANNON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2020 Pulliam St, San Angelo, TX 76905-5148 | 3256597290 | SHANNON CLINIC |
| 215 E College, San Angelo, TX 76903 | 9154812294 | SHANNON CLINIC |
| Organization Legal Name | SHANNON CLINIC |
| Physicians | 315 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kaushal Sondarwa | Nephrology | Shannon Clinic | 220 E Harris, San Angelo, TX 76903 |
| Mark Hinton | Psychiatry | Shannon Clinic | 2018 Pulliam St, San Angelo, TX 76905-5148 |
| Roxanne Timm | Nurse Practitioner | Shannon Clinic | 225 E Beauregard, San Angelo, TX 76903 |
| Kathie M Horrace Voigt | Family Medicine | Shannon Clinic | 4251 Sunset Dr, San Angelo, TX 76904-5653 |
| Maegin M Carlile | Nurse Practitioner | Shannon Clinic | 120 E Beauregard, San Angelo, TX 76903 |
| Natalie Marie Mcdonald | Physician Assistant | Shannon Clinic | 2626 N Bryant Blvd, San Angelo, TX 76903-2861 |
| Glen M Mcferren | Psychiatry | Shannon Clinic | 2020 Pulliam St, San Angelo, TX 76905-5148 |
| Brandi Lynn Whitehead | Physician Assistant | Shannon Clinic | 102 N Magdalen, San Angelo, TX 76903 |
| Buren A Whitten | Physician Assistant | Shannon Clinic | 104 N Ave H, Ozona, TX 76943-0907 |
| Edward L Grimes | Optometry | Shannon Clinic | 4450 Sunset Dr, San Angelo, TX 76904 |
| Street Address |
2020 PULLIAM ST |
| City | SAN ANGELO |
| State | TX |
| Zip | 76905-5148 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Glen M Mcferren | Psychiatry | Shannon Clinic | 2020 Pulliam St, San Angelo, TX 76905-5148 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Hinton | Psychiatry | Shannon Clinic | 2018 Pulliam St, San Angelo, TX 76905-5148 |
| Jeffery Briggs | Psychiatry | Shannon Clinic | 2018 Pulliam St, San Angelo, TX 76905-5148 |
| City | SAN ANGELO |
| Zip Code | 76905 |
| Specialty | GENERAL SURGERY |
| City + Specialty | SAN ANGELO + GENERAL SURGERY |
Please comment or provide details below to improve the information on Robert N Grant.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.