MR. LEROY GRANT


Address: 12215 Dalewood Dr, Silver Spring, MD 20902-1119
Phone: 3019460806

MR. LEROY GRANT (NPI# 1831445402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831445402
Entity Type Individual
Full Name MR. LEROY GRANT
Credential PHYSICIANS ASSISTANT
Practice Address 12215 Dalewood Dr
Silver Spring
MD 20902-1119
Practice Telephone 3019460806
Practice Fax Number 3019460806
Mailing Telephone 3019460806
Enumeration Date 2012-07-31
Last Update Date 2012-07-31
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA165 DC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 12215 DALEWOOD DR
City SILVER SPRING
State MD
Zip Code 20902-1119

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1912470931 Andrea Voss Speech-Language Pathologist Speech and Language Services, 11721 Kemp Mill Road, Silver Spring, MD 20902 2019-01-03
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1598259830 Nechama Malka Koretzky Speech-Language Pathologist 1205 North Belgrade Rd, Silver Spring, MD 20902 2018-06-20
1396238838 Chun Yin Jethro Mak Physical Therapist 2730 University Blvd W Ste 714, Wheaton, MD 20902 2018-06-10
1942719661 Right Care Pediatrics Inc Pediatrics 2730 University Blvd W Ste 420, Wheaton, MD 20902 2017-09-26
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831747971 Miriam Noelle Meiser Physician Assistant 10750 Columbia Pike Unit 401a, Silver Spring, MD 20901-4402 2019-09-02
1093287260 Carolina Radzyminska Johnson Physician Assistant 10750 Columbia Pike Ste 401, Silver Spring, MD 20901-4402 2018-12-27
1427428960 Chanise Isaac Physician Assistant 13832 Outlet Dr, Silver Spring, MD 20904-4970 2015-09-27
1306249180 Kevin Roth Roeum Physician Assistant 13254 Copland Ct, Silver Spring, MD 20904-7105 2014-10-07
1235407370 Grace A Kawesa Physician Assistant 12903 Allerton Ln, Silver Spring, MD 20904-3106 2011-12-04
1851340186 Karl Radley Katterjohn Physician Assistant 9039 Sligo Creek Pkwy, Apt 1401, Silver Spring, MD 20901-3301 2006-05-05
1073167946 Emily T Jervis Physician Assistant 9801 Georgia Ave Ste 224, Silver Spring, MD 20902-5276 2019-07-30
1225693864 Ava Shahdadian Physician Assistant 2415 Musgrove Rd, Silver Spring, MD 20904-5202 2019-05-09
1568915015 Jaynah Mistry Physician Assistant 1500 Forest Glen Rd, Silver Spring, MD 20910-1460 2016-08-02
1972958239 Juliana Bursic Mancini Physician Assistant 2415 Musgrove Rd Ste 105, Silver Spring, MD 20904-5224 2016-04-25
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Competitor

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City SILVER SPRING
Zip Code 20902

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Dataset Information

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.

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