GRANT JUSTIN (NPI# 1891144515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891144515 |
Entity Type | Individual |
Full Name | GRANT JUSTIN |
Credential | M.D. |
Practice Address |
104 Wood Rd Bethesda MD 20889-0001 |
Practice Telephone | 6094682468 |
Enumeration Date | 2016-06-03 |
Last Update Date | 2020-07-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207W00000X | Ophthalmology | 30172 | NE | Allopathic & Osteopathic Physicians |
N | 208D00000X | General Practice | 30172 | NE | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
1 Jarrett White Rd, Tripler Army Medical Center, HI 968595001 | 8084332474 | |
Ophthalmology Residency, 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, TX 78234 | 6094682468 |
Street Address |
104 WOOD RD |
City | BETHESDA |
State | MD |
Zip Code | 20889-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841531035 | Meghan Annette Whitlatch | Surgery | 104 Wood Rd, Bethesda, MD 20814 | 2013-03-13 |
1376150284 | Allison Rey | Nurse Anesthetist, Certified Registered | 104 Wood Rd, Bethesda, MD 20814 | 2020-09-24 |
1215551106 | Fengyuan Yu | Dentist | 104 Wood Rd, Bethesda, MD 20814 | 2020-06-05 |
1063034908 | Tirzah Wende Prince Wait | Student in an Organized Health Care Education/Training Program | 104 Wood Rd, Bethesda, MD 20814 | 2020-05-14 |
1699396424 | John Lee Wilbur Jr. | Student in an Organized Health Care Education/Training Program | 104 Wood Rd, Bethesda, MD 20814 | 2020-05-04 |
1144840737 | Joshua Richter | Student in an Organized Health Care Education/Training Program | 104 Wood Rd, Bethesda, MD 20814 | 2020-04-23 |
1376163246 | Anthony Raymond Cox Jr. | Student in an Organized Health Care Education/Training Program | 104 Wood Rd, Bethesda, MD 20184 | 2020-04-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457987034 | Michael Franco | Student in an Organized Health Care Education/Training Program | Internal Medicine - Walter Reed Nmmc, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2020-03-16 |
1245862135 | Kay Tomashek | Pediatrics | National Military Medical Center, 8901 Rockville Pike, Bethesda, MD 20889 | 2020-02-07 |
1104470657 | Adam Pink | Dentist | 8901 Wisconsin Ave Building 9 Floor 2, Bethesda, MD 20889 | 2019-08-01 |
1659939155 | Matthew Heller | Student in an Organized Health Care Education/Training Program | Psychiatry Walter Reed National Military Medica, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2019-05-30 |
1891258034 | Jane Ann Crotteau | Student in an Organized Health Care Education/Training Program | Pediatrics Walter Reed National Military Medical Center, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2019-04-12 |
1417434341 | Andrea Baeder | Dentist | 8901 Wisconsin Ave Bldg 9, Floor 2, Bethesda, AA 20889 | 2018-07-24 |
1942741723 | John Vance | Orthotist | Wrnmmc Orthotics, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2017-03-14 |
1790225704 | Sylvia Best | Pharmacist | 8901 Wisconsin Avenue Wrnmmc-, Americas Building 19- Internal Medicine Suite 2820, Bethesda, MD 20889 | 2017-02-24 |
1255783767 | Ryan Kaye | Student in an Organized Health Care Education/Training Program | Nsa Bethesda, 8901 Wisconsin Ave, Bethesda, Md 20889, Fpo, AA 20889 | 2016-07-08 |
1366861221 | Tara Elizabeth Brown | Internal Medicine | 8901 Wisconsin Avenue Walter Reed Nmmc, Bethesda, MD 20889 | 2014-04-08 |
Find all providers in zip 20889 |
Taxonomy Code | 207W00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Ophthalmology |
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508402769 | Rachel Bishop | Ophthalmology | 31 Center Dr Bldg 31, Suite 6a11, Bethesda, MD 20892-0001 | 2019-11-22 |
1801298674 | Jesia Hasan | Ophthalmology | 10 Center Drive Bldg 10 Rm 10d45, Bethesda, MD 20892-1863 | 2014-09-23 |
1689088155 | Jacquelyn M Weber | Ophthalmology | 8218 Wisconsin Ave Ste P10, Bethesda, MD 20814-3138 | 2014-06-12 |
1689090631 | Emily Chew | Ophthalmology | National Institutes of Health Crc Rm 3-2531, 10 Center Drive, Msc 1204, Bethesda, MD 20892-1204 | 2014-03-14 |
1831439934 | Wai T Wong | Ophthalmology | 6 Center Dr, Building 6, Room 217, Bethesda, MD 20892-0001 | 2013-02-26 |
1174895619 | Edmond Joseph Fitzgibbon | Ophthalmology | Bldg 49 Rm 2a50, Nei, Nih, Bethesda, MD 20892-0001 | 2012-01-30 |
1598093908 | Ekaterini Tsilou | Ophthalmology | Nei Nih 10 Center Dr Bldg 10, Rm 10n226, Bethesda, MD 20892-0001 | 2009-11-23 |
1871733733 | Hatice Nida Sen | Ophthalmology | National Eye Institute 10 Center Dr, Bldg 10 Rm: 10n112, Bethesda, MD 20892-0001 | 2009-03-04 |
1346495348 | Jonathan C Javitt | Ophthalmology | 2 Bethesda Metro Ctr Ste 1350, Bethesda, MD 20814-6377 | 2008-11-18 |
1417156977 | Janine Austin Smith | Ophthalmology | 10 Center Drive, Op10, National Eye Institute/ National Institutes of Health, Bethesda, MD 20892-0001 | 2007-07-15 |
Find all providers in BETHESDA |
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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.