JACEY LYNN GRANT (NPI# 1871847384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871847384 |
| Entity Type | Individual |
| Full Name | JACEY LYNN GRANT |
| Credential | PA-C |
| Practice Address |
500 N Lewis Run Rd Suite 101 Pittsburgh PA 15122-3056 |
| Practice Telephone | 4124664121 |
| Practice Fax Number | 4124692633 |
| Mailing Telephone | 4124664121 |
| Mailing Fax Number | 4124692633 |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2012-11-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
MA055863 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
500 N LEWIS RUN RD SUITE 101 |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15122-3056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801909338 | Oliver Wynn Herndon | Internal Medicine | 500 N Lewis Run Rd, Suite 105, Pittsburgh, PA 15122-3056 | 2006-08-17 |
| 1255818282 | John William Zeiler | Physical Therapy Assistant | 500 N Lewis Run Rd, Pittsburgh, PA 15122-3056 | 2018-07-23 |
| 1679088249 | Jennifer Lynn Czarniecki | Physical Medicine & Rehabilitation | 500 N Lewis Run Rd, Pittsburgh, PA 15122-3056 | 2017-12-05 |
| 1518472380 | Mary Beth Skvarca | Physical Therapist | 500 N Lewis Run Rd, Pittsburgh, PA 15122-3056 | 2017-12-02 |
| 1679087514 | Kerry Robert Beckley | Occupational Therapy Assistant | 500 N Lewis Run Rd, Pittsburgh, PA 15122-3056 | 2017-11-30 |
| 1346679214 | Sw Healthcare Center, L.p. | Skilled Nursing Facility | 500 N Lewis Run Rd, Pittsburgh, PA 15122-3056 | 2013-11-01 |
| 1932280641 | Lori Dawn Scears | Audiologist | 500 N Lewis Run Rd, Suite 117, Pittsburgh, PA 15122-3056 | 2006-10-18 |
| 1346354719 | Southwestern Surgical Associates, P.C. | Surgery | 500 N Lewis Run Rd, Suite 101, Pittsburgh, PA 15122-3056 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366934200 | Vasilii Peter Bushunow | Student in an Organized Health Care Education/Training Program | General Internal Medicine - South, 2397 Mountain View Drive, West Mifflin, PA 15122 | 2018-06-06 |
| 1215429964 | Callie Marie Dutton Drohan | Student in an Organized Health Care Education/Training Program | Upmc General Internal Medicine South, 2397 Mountain View Drive, West Mifflin, PA 15122 | 2018-05-30 |
| 1972860062 | Mariama Mansaray | Occupational Therapist | 13331 N Street, Pittsburg, PA 15122 | 2012-04-13 |
| 1477793347 | Michael P. Kuniak | Preventive Medicine | 814 Pittsburgh-mckeesport Blvd, Bmpc - Bettis Laboratory - Medical Services, West Mifflin, PA 15122 | 2009-03-04 |
| 1598915092 | G.m. Crevar Opt Inc | Technician/Technologist | 3519 Homestead, Duquesne Rd., West Mifflin, PA 15122 | 2008-09-22 |
| 1669643128 | Allegheny Chiropractic Inc | Chiropractor | 3000 Lebanon Church Road, Suite 107, West Mifflin, PA 15122 | 2008-03-12 |
| 1346437670 | Hands 2 Help Senior Services | Home Health | 1844 Homeville Rd, West Mifflin, PA 15122 | 2007-10-01 |
| 1073527024 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 3075 Clairton Blvd Rt. 51, West Mifflin, PA 15122 | 2006-07-27 |
| 1326066804 | James W Baird | Internal Medicine | 1872 Homeville Road, West Mifflin, PA 15122 | 2006-07-17 |
| 1770544264 | Saul J Silver | Internal Medicine | 1907 Lebanon Church Road, Suite 201, West Mifflin, PA 15122 | 2006-04-01 |
| Find all providers in zip 15122 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450087 | Mary Baich | Physician Assistant | 1050 Bower Hill Rd Ste 208, Pittsburgh, PA 15243-1868 | 2020-06-08 |
| 1972145134 | Emilie A Simone | Physician Assistant | 1050 Bower Hill Rd Ste 309, Pittsburgh, PA 15243-1870 | 2019-10-09 |
| 1518524339 | Nicholas Vernoy Smith | Physician Assistant | 510 South Aiken Avenue, Suite Eg-01 East Wing Shadyside Hospital, Pittsburgh, PA 15232-1505 | 2019-05-28 |
| 1689131757 | Amanda Furst | Physician Assistant | 9100 Babcock Blvd Ste 4828, Pittsburgh, PA 15237-5815 | 2019-02-26 |
| 1659845295 | Alexis Kimes | Physician Assistant | 200 Lothrop St Fl 4, Pittsburgh, PA 15213-2536 | 2019-01-16 |
| 1831648336 | Hollie Anne Ramaley | Physician Assistant | 624 E End Ave, Pittsburgh, PA 15221-3424 | 2016-09-25 |
| 1902250780 | Girma Gutema Hundie | Physician Assistant | 431 Wilson Drive, Pittsburgh, PA 15235 | 2016-04-19 |
| 1871956391 | Kadie Fritz | Physician Assistant | 5601 Centre Ave., Suite 360, Pittsburgh, PA 15206 | 2016-04-01 |
| 1518335033 | Maggie Duer | Physician Assistant | 300 Halket St Ste 1601, Pittsburgh, PA 15213-3108 | 2015-09-15 |
| 1316333057 | Tamara Lea Moritz | Physician Assistant | 6604 Northumberland St, Pittsburgh, PA 15217-1313 | 2015-04-09 |
| Find all providers in PITTSBURGH | ||||
| City | PITTSBURGH |
| Zip Code | 15122 |
Please comment or provide details below to improve the information on JACEY LYNN 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.