ROBERT R GRANT (NPI# 1790897908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790897908 |
| Entity Type | Individual |
| Full Name | ROBERT R GRANT |
| Credential | DO |
| Practice Address |
5514 Corporate Dr Suite 150 Saint Joseph MO 64507-7752 |
| Practice Telephone | 8162711265 |
| Practice Fax Number | 8162797794 |
| Mailing Telephone | 8162711265 |
| Mailing Fax Number | 8162797794 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2017-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
2003014163 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100644360B | 05 | |
| MO | RR MEDICARE | P00238408 | 01 |
| MO | 208321802 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770951261 | Robert Grant | Clinic/Center | 201b S Madison Blvd, Roxboro, NC 27573-5461 | 2015-09-14 |
| 1508891748 | Robert Martin Grant | Internal Medicine | 2330 Post St Ste 420, San Francisco, CA 94115-3466 | 2006-07-12 |
| 1780646034 | Robert Stevenson Grant II | Physical Therapist | 1413 Madison Park Dr, Glen Burnie, MD 21061-5613 | 2006-04-03 |
| 1619961505 | Robert Joshua Grant | Preventive Medicine | 601 Hospital Loop, Fairchild Afb, WA 99011 | 2005-09-07 |
| 1275531477 | Robert J Grant | Emergency Medicine | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2005-07-12 |
| 1831691658 | Robert James Grant | Physical Therapist | 13931 Carroll Way Ste B, Tustin, CA 92780-1861 | 2018-03-07 |
| 1922506542 | Robert Grant | Specialist/Technologist | 990 Elk Grove Town Ctr, Elk Grove Village, IL 60007-3754 | 2018-01-29 |
| 1922530179 | Robert Grant | Student in an Organized Health Care Education/Training Program | 5 E 98th St, Box 1259, New York, NY 10029-6501 | 2017-03-28 |
| 1558615633 | Robert Mark Grant | Behavioral Analyst | 345a Greenwood St, Worcester, MA 01607-1753 | 2012-10-29 |
| 1245583244 | Robert Kelly Grant | Mechanotherapist | 1836 Westlake Ave N, Suite 102, Seattle, WA 98109-2755 | 2012-10-16 |
| Street Address |
5514 CORPORATE DR SUITE 150 |
| City | SAINT JOSEPH |
| State | MO |
| Zip Code | 64507-7752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528054996 | Julian Jesus Nunez | Internal Medicine | 5514 Corporate Dr, Suite 150, Saint Joseph, MO 64507-7743 | 2005-09-21 |
| 1477015386 | Sheree Christine Kruske | Nurse Practitioner | 5514 Corporate Dr, Saint Joseph, MO 64507-7743 | 2019-04-01 |
| 1568574770 | Ricardo A Ramos | Internal Medicine | 5514 Corporate Dr, Suite 150, Saint Joseph, MO 64507-7752 | 2006-09-01 |
| 1588776793 | Arvind K Sharma | Internal Medicine | 5514 Corporate Dr, Suite 150, Saint Joseph, MO 64507-7752 | 2006-09-01 |
| 1679582506 | Steven P Freeman | Internal Medicine | 5514 Corporate Dr, Ste 150, Saint Joseph, MO 64507-7763 | 2006-08-07 |
| 1134195563 | Ala'eldin Ahmed Ababneh | Internal Medicine | 5514 Corporate Dr, Saint Joseph, MO 64507-7752 | 2006-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346644044 | Janaha Anderson | Dental Hygienist | 4073 Se Cunningham Rd, St. Joseph, MO 64507 | 2014-10-09 |
| 1518229772 | Andrew L Walker | Radiology | 902 N Riverside Rd Ste 201, Saint Joseph, MO 64507 | 2012-06-13 |
| 1619105731 | Pamela M. Lotz | Clinical Nurse Specialist | 902 No. Riverside Rd, Suite 200, St. Joseph, MO 64507 | 2009-06-26 |
| 1356300735 | St Joseph Oncology Inc | Internal Medicine | 902 No Riverside Rd, Suite 200, St Joseph, MO 64507 | 2006-03-22 |
| 1962478560 | Douglas Chyatte | Neurological Surgery | 802 N Riverside Rd Ste 120, Saint Joseph, MO 64507 | 2006-02-24 |
| 1073089546 | Chaz Caleb Johnson | Physical Therapist | 5506 Corporate Dr Ste 1800, Saint Joseph, MO 64507 | 2018-10-22 |
| 1295228344 | Julie Odonnell Phd LLC | Clinic/Center | 708 S Woodbine Rd Ste A, Saint Joseph, MO 64507 | 2018-06-13 |
| 1912369695 | Luke Nathan Prest | Pediatrics | 902 N Riverside Rd Ste 100, Saint Joseph, MO 64507 | 2016-03-22 |
| 1396007894 | Brian Wright Roe | Internal Medicine | 5514 Corporate Dr Ste 150, Saint Joseph, MO 64507 | 2012-06-11 |
| 1861873952 | Edison Derr II | Specialist/Technologist | 2214 Maple St, Saint Joseph, MO 64507-1413 | 2015-06-15 |
| Find all providers in zip 64507 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275032286 | Cardiac Cin of Kansas City LLC | Internal Medicine | 111 W 10th St Ste 103, Kansas City, MO 64105-1700 | 2018-02-05 |
| 1437658440 | Cardiac Cin of St Louis LLC | Internal Medicine | 11628 Old Ballas Rd # 346, Saint Louis, MO 63141-7030 | 2018-02-05 |
| 1629366984 | Jorge Marcelo Ramirez Romero | Internal Medicine | 1402 S. Grand, Fdt 14th Floor, St. Louis, MO 63104 | 2011-07-20 |
| 1164737490 | Mohan Mallikarjuna Edupuganti | Internal Medicine | 901 Patients First Dr Ste 2500, Washington, MO 63090 | 2010-08-11 |
| 1285945295 | Byungsoo Ko | Internal Medicine | 100 Mercy Way Ste 320, Joplin, MO 64804-4524 | 2010-06-24 |
| 1033370358 | Shamail S. Tariq | Internal Medicine | 1071 Airport Rd, Festus, MO 63028-4103 | 2008-06-19 |
| 1104083351 | Cardiovascular Institute of Jacksonville P A | Internal Medicine | 1406 Ridgetree Trails Dr, Wildwood, MO 63021-5930 | 2008-05-16 |
| 1053401422 | Gus Theodos | Internal Medicine | 710 S Price Rd, Saint Louis, MO 63124-1867 | 2006-10-13 |
| 1225134117 | William R Reilly Inc | Internal Medicine | 450 N. New Ballas Rd, Ste 170w, St. Louis, MO 63141-6835 | 2006-09-16 |
| 1881799336 | Morton R. Rinder | Internal Medicine | 222 S Woods Mill Rd Ste 560, Chesterfield, MO 63017-3625 | 2006-09-13 |
| Find all providers with the same taxonomy | ||||
| City | SAINT JOSEPH |
| Zip Code | 64507 |
Please comment or provide details below to improve the information on ROBERT R 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.