KEVIN D GRANT (NPI# 1154537645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154537645 |
| Entity Type | Individual |
| Full Name | KEVIN D GRANT |
| Credential | MD |
| Practice Address |
30575 Woodward Ave Royal Oak MI 48073-0980 |
| Practice Telephone | 2482808550 |
| Practice Fax Number | 2482808571 |
| Mailing Telephone | 2482808550 |
| Mailing Fax Number | 2482808571 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
4301082117 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | AVMED | 316380 | 01 |
| FL | CIGNA | 4609324 | 01 |
| FL | 280948600 | 05 | |
| FL | BLUECROSS BLUESHIELD | 30362 | 01 |
| FL | AETNA | 9405150 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730107368 | Kevin Grant | Pediatrics | 1004 River Rock Dr Ste 131, Folsom, CA 95630-2095 | 2006-07-18 |
| 1407853492 | Kevin Joseph Grant | Dentist | 8752a Parsons Blvd, Jamaica, NY 11432-3317 | 2005-07-05 |
| 1043487929 | Kevin Michael Grant | Optometrist | 3140 Bear St, Costa Mesa, CA 92626-2964 | 2008-05-10 |
| 1861438012 | Kevin Lee Grant | Anesthesiology | 1921 Stonecipher Dr, Ada, OK 74820-3439 | 2006-06-22 |
| Street Address |
30575 WOODWARD AVE |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48073-0980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760484901 | David B Mayo | Orthopaedic Surgery | 30575 Woodward Ave, Royal Oak, MI 48073-0980 | 2005-06-01 |
| 1295394963 | Muhaimin Manik | Physician Assistant | 30575 Woodward Ave, Royal Oak, MI 48073-0980 | 2019-06-06 |
| 1801334610 | Michigan Orthopaedic Surgeons Pllc | Orthopaedic Surgery | 30575 Woodward Ave, Royal Oak, MI 48073-0980 | 2017-02-01 |
| 1740646447 | Deborah Kathleen Nobani | Physician Assistant | 30575 Woodward Ave, Royal Oak, MI 48073 | 2016-01-11 |
| 1669891255 | Sara Schuster | Physical Therapist | 30575 Woodward Ave, Suite 210, Royal Oak, MI 48073-0980 | 2014-04-10 |
| 1528302965 | Tara M Anderson | Physician Assistant | 30575 Woodward Ave, Royal Oak, MI 48073-0980 | 2012-11-26 |
| 1730475328 | Stephanie E Koslowski | Physical Therapist | 30575 Woodward Ave, Ste 100, Royal Oak, MI 48073-0980 | 2011-06-22 |
| 1871769208 | Hassan Alosh | Orthopaedic Surgery | 30575 Woodward Ave, Royal Oak, MI 48073-0980 | 2008-05-06 |
| 1811167687 | William Nils Thornton | Physical Therapist | 30575 Woodward Ave, Suite 210, Royal Oak, MI 48073-0980 | 2008-03-07 |
| 1356557623 | Zachary Vaupel | Orthopaedic Surgery | 30575 Woodward Ave, Royal Oak, MI 48073-0980 | 2007-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306114 | Spine and Joint Surgical Institute of Michigan, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 200, Royal Oak, MI 48073 | 2020-08-11 |
| 1528679081 | Activo Physical Therapy, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 101, Royal Oak, MI 48073 | 2020-08-10 |
| 1265057624 | Olga Romina Gomez Rojas | Internal Medicine | 3607 W 13 Mile Rd, Royal Oak, MI 48073 | 2020-06-11 |
| 1598389785 | Devika Aggarwal | Internal Medicine | 3601 W 13 Mile Road Beaumont Hospital- Royal Oak, Royal Oak, MI 48073 | 2020-06-03 |
| 1831713064 | Michael Morelli | Physical Medicine & Rehabilitation | Department of Physical Medicine and Rehabilitation, 3601 W 13 Mile Road, Royal Oak, MI 48073 | 2020-06-03 |
| 1134741895 | Kamil Sardarli | Internal Medicine | Beaumont Hospital - Royal Oak 3601 W Thirteen Mile Road, Royal Oak, MI 48073 | 2020-05-15 |
| 1245850171 | Dema Fawaz | Emergency Medicine | Beaumont Hospital, Royal Oak, Gme Office, 3601 W. 13 Mile Rd, Royal Oak, MI 48073 | 2020-04-21 |
| 1235771049 | Semaan Dentistry Pllc | Dentist | 30955 Woodward Ave Ste 105, Royal Oak, MI 48073 | 2019-10-14 |
| 1013560473 | Muhammad Waqas | Pediatrics | Beaumont Hospital Royal Oak, 3601 W 13 Mile Rd, Royal Oak, MI 48073 | 2019-07-24 |
| 1346804135 | Matthew M Astolfi | Orthopaedic Surgery | 3601 W Thirteenth Mile Road, Royal Oak, MI 48073 | 2019-04-26 |
| Find all providers in zip 48073 | ||||
| Taxonomy Code | 207XX0801X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Trauma |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255704268 | Pelvis and Acetabulum Surgical Specialists, Pllc | Orthopaedic Surgery | 50297 Drakes Bay Dr, Novi, MI 48374-2544 | 2015-11-12 |
| 1689669178 | James Robert Weir | Orthopaedic Surgery | 800 Cooper Ave., Suite 12, Saginaw, MI 48602-5394 | 2005-09-12 |
| 1760481782 | Geoffrey A Sandman | Orthopaedic Surgery | 350 Lafayette Ave Se, 4th Floor, Grand Rapids, MI 49503-4656 | 2005-07-20 |
| 1215930490 | Family Orthopedic Associates P L C | Orthopaedic Surgery | 4466 W Bristol Rd, Flint, MI 48507-3170 | 2005-05-23 |
| 1417469453 | Sjmhs Livingston Orthopedic Surgical Group | Orthopaedic Surgery | 5315 Elliot Dr, Suite 304, Ypsilanti, MI 48197 | 2017-10-31 |
| 1316468275 | Kelley Brossy Do PC | Orthopaedic Surgery | 21031 Michigan Ave, Dearborn, MI 48124-2339 | 2017-06-30 |
| 1336531730 | Ryan Bray | Orthopaedic Surgery | 311 Mack Ave Fl 5, Detroit, MI 48201-2466 | 2015-02-23 |
| 1669801411 | Moc Trauma, PC | Orthopaedic Surgery | 2815 S Pennsylvania Ave, Suite 204, Lansing, MI 48910-3495 | 2013-11-02 |
| 1356671051 | Gregory P. Nowinski Md PC | Orthopaedic Surgery | 1350 Kirts Blvd, Suite 160, Troy, MI 48084-4851 | 2010-01-04 |
| 1457581183 | Orthopedic Trauma Specialist Pllc | Orthopaedic Surgery | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2009-07-15 |
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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.