DR. SHAWN KAY GRANDIA (NPI# 1710949409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710949409 |
| Entity Type | Individual |
| Full Name | DR. SHAWN KAY GRANDIA |
| Credential | M.D. |
| Practice Address |
187 Thomas Johnson Dr Ste 1 Frederick MD 21702-4445 |
| Practice Telephone | 3013789421 |
| Practice Fax Number | 3013789529 |
| Mailing Telephone | 3013789421 |
| Mailing Fax Number | 3013789529 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2020-06-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
D41421 | MD | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5838 Harbour View Blvd Ste 100, Suffolk, VA 234352663 | 7576735680 | 7574833075 |
| Street Address |
187 THOMAS JOHNSON DR STE 1 |
| City | FREDERICK |
| State | MD |
| Zip Code | 21702-4445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285812503 | Stanely Chung, M.d.,p.a. | Specialist | 187 Thomas Johnson Dr Ste 1, Frederick, MD 21702-4396 | 2008-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129714 | Rita Akowuah | Nurse Practitioner | 1302 Baker Place East Apt 14, Frederick, MD 21702 | 2020-09-18 |
| 1912416272 | Morgan Nicely | Behavior Technician | 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 | 2017-09-29 |
| 1154840494 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 | 2017-09-19 |
| 1831617471 | Hazel Elizabeth Gill | Physical Therapy Assistant | 2007 Butterfield Overlook, Frederick, MD 21702 | 2017-09-05 |
| 1831610161 | William Haynes | Nurse Practitioner | 103 Water Land Ct., Frederick, MD 21702 | 2017-06-27 |
| 1497299333 | Timothy Stimach | Pharmacist | 1430b W Patrick St, Frederick, MD 21702 | 2016-12-12 |
| 1184167405 | Maryland Nutrition and Diet Services, L.L.C. | Dietitian, Registered | 1301 W. 7th Street, No. 1607, Frederick, MD 21702 | 2016-11-18 |
| 1649649468 | Oluwakemi Olubunmi Osidele | Nurse Practitioner | 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 | 2015-09-22 |
| 1841678562 | Ventzislava Hristova | Spec/Tech, Pathology | 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 | 2015-05-14 |
| 1023404571 | Mychal Lynn Pilia | Advanced Practice Midwife | 7420 Hayward Road, Suite 104, Frederick, MD 21702 | 2015-04-11 |
| Find all providers in zip 21702 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| 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 |
|---|---|---|---|---|
| 1881738334 | Rishi R. Gupta | Orthopaedic Surgery | 86 Thomas Johnson Ct, Frederick, MD 21702-4348 | 2007-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346361524 | Avigdor Izsak Niv | Orthopaedic Surgery | 2119 Sugarcone Rd, Baltimore, MD 21209-1027 | 2007-04-03 |
| 1891783114 | Peter R Jay | Orthopaedic Surgery | 2700 Quarry Lake Dr, Suite 300, Baltimore, MD 21209-3742 | 2005-10-11 |
| 1013915487 | Antoni Bernard Goral | Orthopaedic Surgery | 8401 Connecticut Ave, Suite 800, Chevy Chase, MD 20815-5803 | 2005-07-11 |
| 1790338341 | Marissa Elizabeth Bonyun | Orthopaedic Surgery | 22 S Greene St, Baltimore, MD 21201-1544 | 2019-07-23 |
| 1407297724 | John Vincent Thompson | Orthopaedic Surgery | 2401 W Belvedere Ave, Baltimore, MD 21215 | 2013-07-15 |
| 1235570839 | Pablo Wagner | Orthopaedic Surgery | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2013-07-11 |
| 1902153190 | Gautam Siram, Md, PC | Orthopaedic Surgery | 5530 Wisconsin Ave Ste 1660, Chevy Chase, MD 20815-4322 | 2012-08-07 |
| 1831471234 | St. Paul Place Specialists, Inc. | Orthopaedic Surgery | 301 Saint Paul Pl, Baltimore, MD 21202-2102 | 2011-09-13 |
| 1376836015 | Kevin Mccoy | Orthopaedic Surgery | 510 Idlewild Ave Ste 200, Easton, MD 21601-3883 | 2011-05-26 |
| 1104007079 | Robert Paxton Mckinstry | Orthopaedic Surgery | 3333 N Calvert St, Suite 400, Baltimore, MD 21218-2867 | 2007-11-20 |
| Find all providers with the same taxonomy | ||||
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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.