DR. SANDRA RUE GRANT (NPI# 1639192685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639192685 |
| Entity Type | Individual |
| Full Name | DR. SANDRA RUE GRANT |
| Credential | MD |
| Practice Address |
1501 Kings Highway Department of Pediatrics/neonatology Shreveport LA 71103-4228 |
| Practice Telephone | 3186757880 |
| Mailing Telephone | 3186757880 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2018-03-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | MD.06216R | LA | Allopathic & Osteopathic Physicians |
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
MD.06216R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1343838 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1401 N Foster Dr, Baton Rouge, LA 708061818 | 2259879000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760019558 | Sandra Grant | Licensed Practical Nurse | 25360 149th Rd, Rosedale, NY 11422-2822 | 2020-03-24 |
| 1073784054 | Sandra Grant | Anesthesiology | 318 Park North Ct, Winter Park, FL 32789-2553 | 2008-03-18 |
| 1225142722 | Sandra Lynn Grant | Nurse Practitioner | 12002 Trafalgar Ave, Suite 201, Lubbock, TX 79424-7668 | 2006-08-19 |
| 1487614475 | Sandra Elisabeth Grant | Psychiatry & Neurology | 333 Miller Ave, Ste 2, Mill Valley, CA 94941-2846 | 2006-03-24 |
| 1033577093 | Sandra Grant | Physical Therapy Assistant | 1000 Saint Louis Ave, Suite 102, Fort Worth, TX 76104-3366 | 2016-02-05 |
| 1063733244 | Sandra Grant | Social Worker | 220 Bagley St, Suite 1100, Detroit, MI 48226-1400 | 2010-06-22 |
| 1811183569 | Sandra Grant | Licensed Practical Nurse | 2250 Hickory Rd, Suite 240, Plymouth Meeting, PA 19462-1047 | 2007-09-17 |
| 1942232830 | Sandra Lee Grant | Physical Therapist | 407 E 3rd St, Duluth, MN 55805-1950 | 2006-07-07 |
| 1144260100 | Sandra Elizabeth Grant | Anesthesiology | 1775 W Hibiscus Blvd, Suite 215, Melbourne, FL 32901-2620 | 2006-06-07 |
| Street Address |
1501 KINGS HIGHWAY DEPARTMENT OF PEDIATRICS/NEONATOLOGY |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71103-4228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790720738 | Louisina State University Health Sciences Center | Neurological Surgery | 1501 Kings Highway, Lsuhsc-s, Shreveport, LA 71103-4228 | 2006-06-16 |
| 1609496439 | Nicolas Abraham Zaunbrecher | Student in an Organized Health Care Education/Training Program | 1501 Kings Highway, Internal Medicine, Shreveport, LA 71130-3932 | 2020-04-22 |
| 1619597432 | Ghanshyam R. Mudigonda | Student in an Organized Health Care Education/Training Program | 1501 Kings Highway, Internal Medicine, Shreveport, LA 71130-3932 | 2020-04-22 |
| 1528688348 | Audrey Netzel | Student in an Organized Health Care Education/Training Program | 1501 Kings Highway, Internal Medicine, Shreveport, LA 71130-3932 | 2020-04-22 |
| 1629698444 | Ammad Khan | Student in an Organized Health Care Education/Training Program | 1501 Kings Highway, Internal Medicine, Shreveport, LA 71130-3932 | 2020-04-22 |
| 1265052088 | James Mccarty | Student in an Organized Health Care Education/Training Program | 1501 Kings Highway, Internal Medicine, Shreveport, LA 71130-3932 | 2020-04-22 |
| 1831719848 | Patrick Connor | Student in an Organized Health Care Education/Training Program | 1501 Kings Highway, Internal Medicine, Shreveport, LA 71130-3932 | 2020-04-20 |
| 1023638020 | Izrail Abdurakhmanov | Student in an Organized Health Care Education/Training Program | 1501 Kings Highway, Psychiatry, Shreveport, LA 71130-3932 | 2020-04-20 |
| 1952921959 | Tanner Hegefeld | Student in an Organized Health Care Education/Training Program | 1501 Kings Highway, Psychiatry, Shreveport, LA 71130-3932 | 2020-04-20 |
| 1881214815 | Justin Harrell | Student in an Organized Health Care Education/Training Program | 1501 Kings Highway, Internal Medicine, Shreveport, LA 71130-3932 | 2020-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083124887 | Elizabeth Ponder | Case Manager/Care Coordinator | 404 Hearne Avenue, Shreveport, LA 71103 | 2017-10-05 |
| 1245648393 | Madiha Tariq | General Acute Care Hospital | Rheumatology Clinic, 1501 Kings Hwy, Sheveport, LA 71103 | 2014-07-31 |
| 1659782688 | Jennifer G Smith | Pharmacist | 1725 Claiborne Ave, Shreveport, LA 71103 | 2014-05-13 |
| 1336568823 | Taylor Jieun Jung | Student in an Organized Health Care Education/Training Program | Lsu Health Sciences Center 1501 Kings Highway, Department of Oral & Maxillofacial Surgery Room 530, Shreveport, LA 71103 | 2014-04-10 |
| 1578984746 | Jamie Terrell | Pharmacist | 1625 Claiborne Ave, Shreveport, LA 71103 | 2013-12-13 |
| 1346675188 | Srijan Tandukar | Internal Medicine | 2751 Albert L Bicknell Dr Ste 2b, Shreveport, LA 71103 | 2013-09-12 |
| 1699017681 | Deanna Elise Mossallati | Internal Medicine | 8551 Greenwood Rd, Suite 410, Shreveport, LA 71103 | 2013-03-18 |
| 1346527330 | Tim M Smith | Clinical Exercise Physiologist | 3200 Greenwood Rd., Shreveport, LA 71103 | 2011-11-04 |
| 1144451683 | Second Chance Recovery | Durable Medical Equipment & Medical Supplies | 3816 Linwood, Shreveport, LA 71103 | 2009-07-31 |
| 1093919920 | Neeraj Singh | Internal Medicine | 2751 Albert L Bicknell Dr Fl 4, Shreveport, LA 71103 | 2007-06-13 |
| Find all providers in zip 71103 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194916502 | Sara Sibley Serio | Pediatrics | 4027 Baltimore Ave, Shreveport, LA 71106-1009 | 2007-08-09 |
| 1326062076 | Neonatal Care Specialists, Inc. | Pediatrics | 920 Pierremont Rd, Suite 200, Shreveport, LA 71106-2079 | 2006-07-26 |
| 1003809211 | Lea Bonifacio Penales | Pediatrics | 2520 Bert Kouns Loop, Suite 215, Shreveport, LA 71118-3130 | 2005-08-24 |
| 1780848580 | Wk Ark-la-tex Neonatology | Pediatrics | 2510 Bert Kouns Loop, Room 215, Shreveport, LA 71118-3119 | 2008-07-11 |
| 1720242431 | Scott A Walls | Pediatrics | 2510 Bert Kouns Loop, Room 215, Shreveport, LA 71118-3119 | 2008-07-11 |
| 1972697886 | Shabih Manzar | Pediatrics | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2006-10-03 |
| 1093735961 | Hassan Mohwad Ibrahim | Pediatrics | 1501 Kings Hwy, Department of Pediatrics, Section of Neonatology, Shreveport, LA 71103-4228 | 2006-07-20 |
| 1700806676 | Richard William Krouskop | Pediatrics | 1501 Kings Hwy, Department of Pediatrics, Section of Neonatology, Shreveport, LA 71103-4228 | 2006-07-20 |
| 1497772305 | Janet Blount Ashenbrebber | Pediatrics | 1501 Kings Hwy, Department of Pediatrics, Section of Neonatology, Shreveport, LA 71103-4228 | 2006-07-16 |
| 1285651190 | Arun Kimar Pramanik | Pediatrics | 1501 Kings Hwy, Department of Pediatrics, Section of Neonatology, Shreveport, LA 71103-4228 | 2006-07-16 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71103 |
Please comment or provide details below to improve the information on DR. SANDRA RUE GRANT.
| 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.