Robert Thaddeus Grant (NPI# 1396752770, PAC ID# 3072415256) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1396752770 |
| PAC ID by PECOS | 3072415256 |
| Professional Enrollment ID | I20040127000534 |
| Full Name | Robert Thaddeus Grant |
| Organization Legal Name | ALBEMARLE PHYSICIAN SERVICES- SENTARA INC |
| Address |
1144 N Rd St Elizabeth City NC 27909-3473 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 8729139852 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340109 | SENTARA ALBEMARLE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 211 Virginia Rd, Edenton, NC 27932-9668 | 2523844925 | ALBEMARLE PHYSICIAN SERVICES- SENTARA INC |
| 1144 N Rd St, Elizabeth City, NC 27909-3473 | ALBEMARLE PHYSICIAN SERVICES- SENTARA INC |
| Organization Legal Name | ALBEMARLE PHYSICIAN SERVICES- SENTARA INC |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John J Beneck | Physician Assistant | Albemarle Physician Services- Sentara Inc | 1177 N Rd St, Elizabeth City, NC 27909-3388 |
| Margaret S Zirpoli | Nurse Practitioner | Albemarle Physician Services- Sentara Inc | 112 Medical Dr, Elizabeth City, NC 27909-3361 |
| Baogang Liu | General Surgery | Albemarle Physician Services- Sentara Inc | 1177 N Rd St, Elizabeth City, NC 27909-3388 |
| Anitra Hughes | Nurse Practitioner | Albemarle Physician Services- Sentara Inc | 112 Medical Dr, Elizabeth City, NC 27909-3361 |
| Margaret R Dawson | Nurse Practitioner | Albemarle Physician Services- Sentara Inc | 112 Medical Dr, Elizabeth City, NC 27909-3361 |
| Hannah Yetzer | Nurse Practitioner | Albemarle Physician Services- Sentara Inc | 1144 N Rd St, Elizabeth City, NC 27909-3473 |
| Pamela Sue Whiting Evans | Neurology | Albemarle Physician Services- Sentara Inc | 1141 N Rd St, Suite M, Elizabeth City, NC 27909-3354 |
| John D Elliott | Family Medicine | Albemarle Physician Services- Sentara Inc | 1144 N Rd St, Elizabeth City, NC 27909-3473 |
| Harry Joseph Molligan Iv | Orthopedic Surgery | Albemarle Physician Services- Sentara Inc | 1144 N Rd St, Elizabeth City, NC 27909-3473 |
| Marie A Moser | Obstetrics/gynecology | Albemarle Physician Services- Sentara Inc | 112 Medical Dr, Elizabeth City, NC 27909-3361 |
| Street Address |
1144 N RD ST |
| City | ELIZABETH CITY |
| State | NC |
| Zip | 27909-3473 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ali Hussain | Internal Medicine | Pasquotank River Inpatient Services LLC | 1144 N Rd St, Elizabeth City, NC 27909-3473 |
| Adam Oneal Padgett | Family Medicine | Hospitalist Medicine Physicians of North Carolina Pllc | 1144 N Rd St, Elizabeth City, NC 27909-3473 |
| Demetria Y Austin | Internal Medicine | Pasquotank River Inpatient Services LLC | 1144 N Rd St, Elizabeth City, NC 27909-3473 |
| Karl Brandspigel | Nephrology | Sentara Albemarle Regional Medical Center LLC | 1144 N Rd St, Elizabeth City, NC 27909-3473 |
| Thomas M Duggan | Internal Medicine | Pasquotank River Inpatient Services LLC | 1144 N Rd St, Elizabeth City, NC 27909-3473 |
| Norman A Brown | Emergency Medicine | Waterway Emergency Physicians LLC | 1144 N Rd St, Elizabeth City, NC 27909-3473 |
| Thomas M Geddings | Anesthesiology | Sarmc Anesthesia Specialist LLC | 1144 N Rd St, Elizabeth City, NC 27909-3473 |
| Jose Jacob | Cardiovascular Disease (cardiology) | Pasquotank River Inpatient Services LLC | 1144 N Rd St, Elizabeth City, NC 27909-3473 |
| Craig I Schranz | Emergency Medicine | Waterway Emergency Physicians LLC | 1144 N Rd St, Elizabeth City, NC 27909-3473 |
| Praveen Potluru | Anesthesiology | Sarmc Anesthesia Specialist LLC | 1144 N Rd St, Elizabeth City, NC 27909-3473 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas M Waite | Clinical Social Worker | 1241 N Rd St, Elizabeth City, NC 27909 | |
| Adam T Lipman | Ophthalmology | Mandell Retina Center PC | 1503 N Rd St, Elizabeth City, NC 27909-3243 |
| John R Howard Jr. | Hematology/oncology | Virginia Oncology Associates | 1503 N Rd St B, Elizabeth City, NC 27909-3243 |
| Jasvinder P Singh | Pulmonary Disease | 1507 N Rd St, Suite 1, Elizabeth City, NC 27909-3243 | |
| Cristina Sampaio Alencar | Hematology/oncology | Virginia Oncology Associates | 1503 N Rd St B, Elizabeth City, NC 27909-3243 |
| Jitendra Swarup | Ophthalmology | Albemarle Eye Center, Pllc | 1503 N Rd St, Elizabeth City, NC 27909-3243 |
| Eric M Burns | Optometry | Albemarle Eye Center, Pllc | 1503 N Rd St, Elizabeth City, NC 27909-3243 |
| Tejwant S Chandi | Internal Medicine | Albemarle Medical Associates Pllc | 1507 N Rd St, Suite 3, Elizabeth City, NC 27909-3243 |
| Regina Mccoy | Nurse Practitioner | Albemarle Medical Associates Pllc | 1507 N Rd St, Suite 3, Elizabeth City, NC 27909-3243 |
| Gary W Lehman | Optometry | Albemarle Eye Center, Pllc | 1503 N Rd St, Elizabeth City, NC 27909-3243 |
| Find all physicians in zip 27909 | |||
| City | ELIZABETH CITY |
| Zip Code | 27909 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | ELIZABETH CITY + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Robert Thaddeus 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.