KENNETH DOUGLAS GRANT (NPI# 1093793796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093793796 |
| Entity Type | Individual |
| Full Name | KENNETH DOUGLAS GRANT |
| Credential | M.D. |
| Practice Address |
874 American Pacific Dr Henderson NV 89014-8800 |
| Mailing Address |
1801 W Olympic Blvd # 2265 Pasadena CA 91199-0001 |
| Practice Telephone | 7027774809 |
| Practice Fax Number | 7027774822 |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2020-10-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
9894 | NV | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790007722 | Kenneth Mark Grant | Pharmacist | 17577 Maxon Ln, Adams, NY 13605-2127 | 2010-02-18 |
| 1154414225 | Kenneth E. Grant | Pediatrics | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2006-10-02 |
| 1497848741 | Kenneth John Grant | Internal Medicine | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5153 | 2006-10-01 |
| 1114997095 | Kenneth Fred Grant | Specialist | 1 Science Ct, Suite 200, Columbia, SC 29203-9344 | 2006-01-24 |
| Street Address |
874 AMERICAN PACIFIC DR |
| City | HENDERSON |
| State | NV |
| Zip Code | 89014-8800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013919349 | Jacqueline Randa | Physical Therapist | 874 American Pacific Dr, Henderson, NV 89014-8800 | 2005-05-31 |
| 1952926297 | Dana Shepherd | Physician Assistant | 874 American Pacific Dr, Henderson, NV 89014-8800 | 2020-06-12 |
| 1558999888 | Jino Soriano | Student in an Organized Health Care Education/Training Program | 874 American Pacific Dr, Henderson, NV 89014-8800 | 2020-03-31 |
| 1083279442 | Sarah Peralta | Behavior Technician | 874 American Pacific Dr, Henderson, NV 89014-8800 | 2019-05-01 |
| 1871082511 | Robert Wimmer | Physician Assistant | 874 American Pacific Dr, Henderson, NV 89014-8800 | 2018-05-08 |
| 1093217507 | Tiffany Ann Finnegan | Behavior Technician | 874 American Pacific Dr, Henderson, NV 89014-8800 | 2018-03-01 |
| 1801303326 | Adam Volker | Behavioral Analyst | 874 American Pacific Dr, Henderson, NV 89014-8800 | 2018-01-05 |
| 1497268791 | Patrick Allen Leytham | Technician, Other | 874 American Pacific Dr, Henderson, NV 89014-8800 | 2017-11-08 |
| 1316475072 | Cynthia Lau | Occupational Therapist | 874 American Pacific Dr, Henderson, NV 89014-8800 | 2017-05-25 |
| 1497209134 | Teresa Renee Edwards | Behavioral Analyst | 874 American Pacific Dr, Henderson, NV 89014-8800 | 2016-08-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857024 | Sudheer J. Surpure, Md, Dds, Inc. | Oral & Maxillofacial Surgery | Grand Canyon Oral and Facial Surgery, 1600 W. Sunset Road, Suite B, Henderson, NV 89014 | 2020-10-06 |
| 1386271740 | Fibonacci Services LLC | Counselor | 2920 N. Green Valley Pkwy, Bulding 8 & Suite 812, Henderson, NV 89014 | 2020-03-25 |
| 1508409145 | Facial Expressions Presented By K. Thomas | Home Infusion | 1520 W. Sunset Rd. Ste 130, #205, Henderson, NV 89014 | 2019-10-27 |
| 1235794595 | Marquise D Dennis | Prosthetist | 1520 W. Sunset Rd, Henderson, NV 89014 | 2019-05-02 |
| 1609359165 | Kenisha Voncille Thomas | Family Medicine | 1520 W Sunset Rd Ste 130, Henderson, NV 89014 | 2018-09-11 |
| 1841716727 | Logan Bretney | Physical Therapist | 400 S Stephanie St, Suite 310, Building 1, Henderson, NV 89014 | 2017-08-22 |
| 1912421280 | Alan Joseph Sevy | Dentist | 1485 W Warm Springs Rd Ste 101, Henderson, NV 89014 | 2017-07-28 |
| 1659805307 | Ann Marie Echevarria | Behavior Technician | 2551 N Green Valley Parkway, 410a, Henderson, NV 89014 | 2017-04-19 |
| 1366838997 | Ladwana Retic, Lcsw LLC | Case Management | 1514 Tree Top Ct, Henderson, NV 89014 | 2015-04-10 |
| 1073958393 | Ashlyn Call | Physician Assistant | 1397 Galleria Dr Ste 100, Henderson, NV 89014 | 2013-04-30 |
| Find all providers in zip 89014 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740798560 | Rasool Rheumatology Ltd | Internal Medicine | 861 Coronado Center Dr Ste 211, Henderson, NV 89052-3992 | 2018-01-15 |
| 1457532947 | Michael Ohanlan Md Chartered | Internal Medicine | 8905 S Pecos Rd Ste 23a, Henderson, NV 89074-7148 | 2007-11-26 |
| 1700993771 | Michael Anthony O'hanlan | Internal Medicine | 8905 S Pecos Rd, Suite.23a, Henderson, NV 89074-7147 | 2006-08-24 |
| 1205862497 | Christianne M. Yung | Internal Medicine | 2482 West Horizon Ridge Pkwy, #130, Henderson, NV 89052 | 2006-06-23 |
| 1326558610 | Dignity Health Medical Group Nevada LLC | Internal Medicine | 10001 S Eastern Ave Ste 203, Henderson, NV 89052-3908 | 2017-10-02 |
| 1710120068 | Dodji Modjinou | Internal Medicine | 10001 S Eastern Ave Ste 203, Henderson, NV 89052-3908 | 2009-04-16 |
| 1457476707 | Elham Taherian | Internal Medicine | 10001 S Eastern Ave Ste 203, Henderson, NV 89052-3908 | 2007-03-19 |
| 1942273099 | Scott J Harris | Internal Medicine | 874 American Pacific Dr, Henderson, NV 89014-8800 | 2006-02-09 |
| 1891767638 | Mitchell David Forman | Internal Medicine | 874 American Pacific Dr, Henderson, NV 89014-8800 | 2006-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699127282 | Sierra Nevada Rheumatology, LLC | Internal Medicine | 6165 Ridgeview Ct Ste C, Reno, NV 89519-6332 | 2016-07-07 |
| 1316365141 | Las Vegas Rheumatology Associates | Internal Medicine | 4100 N Martin L King Blvd Ste A, North Las Vegas, NV 89032 | 2014-03-29 |
| 1689791782 | Bryan James Wolf | Internal Medicine | 6165 Ridgeview Ct, Ste C, Reno, NV 89519-6332 | 2007-03-23 |
| 1265573828 | H Malin Prupas Md | Internal Medicine | 80 Giroux Street, #101, Reno, NV 89502 | 2007-02-08 |
| 1740370287 | Julie Thomas | Internal Medicine | 160 Country Estates Cir # 2, Reno, NV 89511-4040 | 2006-10-13 |
| 1225007032 | Ewa Olech | Internal Medicine | 7200 Cathedral Rock Dr Ste 110, Las Vegas, NV 89128-0439 | 2006-03-15 |
| 1265434716 | Neil A Braunstein | Internal Medicine | 4750 W Oakey Blvd Ste 3a, Las Vegas, NV 89102 | 2005-08-15 |
| 1609876663 | Michael P Colletti Md PC | Internal Medicine | 4580 S Eastern Ave, #29, Las Vegas, NV 89119-6100 | 2005-07-29 |
| 1376543843 | Michael P Colletti Md PC | Internal Medicine | 3085 E Flamingo Rd, Suite A, Las Vegas, NV 89121-4385 | 2005-07-27 |
| 1982603825 | Steven G Atcheson, Md, A Prof Corp | Internal Medicine | 93 Bell St, Reno, NV 89503-5616 | 2005-07-20 |
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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.