DR. GRANT HAMILTON BREAZEALE (NPI# 1922119122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922119122 |
| Entity Type | Individual |
| Full Name | DR. GRANT HAMILTON BREAZEALE |
| Credential | M.D. |
| Practice Address |
651 Centre View Boulevard Crestview Hills KY 41017-5423 |
| Mailing Address |
Po Box 635283 Cincinnati OH 45263-5283 |
| Practice Telephone | 8597572927 |
| Practice Fax Number | 8593410203 |
| Mailing Telephone | 8597572927 |
| Mailing Fax Number | 8593410203 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2019-04-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 43864 | KY | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
43864 | KY | Allopathic & Osteopathic Physicians |
| Street Address |
651 CENTRE VIEW BOULEVARD |
| City | CRESTVIEW HILLS |
| State | KY |
| Zip Code | 41017-5423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104463793 | Shannon Bowen | Nurse Practitioner | 651 Centre View Boulevard, Crestview Hills, KY 41017-5423 | 2019-12-03 |
| 1679057731 | Carrie Briley Linville | Nurse Practitioner | 651 Centre View Boulevard, Crestview Hills, KY 41017-5101 | 2018-09-24 |
| 1043793607 | Lynnsey Michelle Trog | Nurse Practitioner | 651 Centre View Boulevard, Crestview Hills, KY 41017 | 2018-09-10 |
| 1831631498 | Jenna Ionna | Nurse Practitioner | 651 Centre View Boulevard, Crestview Hills, KY 41017-5419 | 2016-11-14 |
| 1316292329 | Mustapha El Halabi | Internal Medicine | 651 Centre View Boulevard, Crestview Hills, KY 41017 | 2012-07-16 |
| 1033485644 | Aishwarya Rushyal Shyamraj | Internal Medicine | 651 Centre View Boulevard, Crestview Hills, KY 41017 | 2012-03-28 |
| 1235420621 | Suma Chennubhotla | Internal Medicine | 651 Centre View Boulevard, Crestview Hills, KY 41017 | 2011-04-20 |
| 1669678165 | Kartikkumar Jinjuvadia | Internal Medicine | 651 Centre View Boulevard, Crestview Hills, KY 41017 | 2007-06-22 |
| 1104978048 | Mazen Elyan | Internal Medicine | 651 Centre View Boulevard, Crestview Hills, KY 41017-5419 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
| 1366084337 | St. Elizabeth Medical Center, Inc. | Pharmacy | 850 Thomas More Parkway, Edgewood, KY 41017 | 2019-10-11 |
| 1396396750 | Family First Vision Care Kentucky | Optometrist | 614 Buttermilk Pike, Fort Mitchell, KY 41017 | 2019-09-26 |
| 1083184543 | Katie Franconia Smith | Nurse Practitioner | 2865 Chancellor Dr., Crestview Hills, KY 41017 | 2018-11-27 |
| 1871077511 | Janet Reeves Martin | Nurse Practitioner | Infinity Dialysis, 4750 East Galbraith Rd. Suite 103, Cincinnati, OH 41017 | 2018-09-19 |
| 1144713983 | Kelly Wiechart | Dentist | 599 Freedom Park Dr Ste 100, Crestview Hills, KY 41017 | 2018-06-06 |
| 1225535966 | Proscan Radiology Northern Kentucky, LLC | Radiology | 350 Thomas More Pkwy Ste 170, Crestview Hills, KY 41017 | 2018-04-10 |
| 1396241626 | Tressa S. Leahy | Physical Therapist | 200 Medical Village Drive, Edgewood, KY 41017 | 2018-04-04 |
| 1699294470 | Raymond Gardinier | Physical Therapist | 3755 Old Ky 17, Fort Wright, KY 41017 | 2017-09-13 |
| 1992229785 | Adrienne Bussard | Physician Assistant | 334 Thomas More Pkwy Ste 120, Crestview Hills, KY 41017 | 2017-08-02 |
| Find all providers in zip 41017 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770891590 | Akash Vasireddy | Internal Medicine | 651 Centre View Blvd, Crestview Hills, KY 41017-5423 | 2010-09-14 |
| 1558694208 | Sai Ram Sunil Sarma Konduri | Internal Medicine | 651 Centre View Blvd, Crestview Hills, KY 41017 | 2009-09-14 |
| 1447286455 | William C. Willmott | Internal Medicine | 651 Centre View Blvd, Crestview Hills, KY 41017-5423 | 2006-06-23 |
| 1154313518 | Ralph Francis Huller Jr. | Internal Medicine | 651 Centre View Blvd, Crestview Hills, KY 41017-5423 | 2005-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437700754 | Yasinmd Pllc | Internal Medicine | 13304 Ridgemoor Dr, Prospect, KY 40059-7139 | 2019-09-27 |
| 1689232258 | Methodist Health, Inc. | Internal Medicine | 4604 Us Highway 60 W Ste E, Morganfield, KY 42437-6515 | 2019-05-30 |
| 1841661410 | Sleep Care Specialist of Louisville | Internal Medicine | 250 E Liberty St Ste 902, Louisville, KY 40202-1538 | 2015-10-08 |
| 1780926279 | Inspired Medical Services, LLC | Internal Medicine | 9805 Brownsboro Rd, Suite 101, Louisville, KY 40241-1125 | 2013-03-22 |
| 1902146277 | Ephraim Mcdowell Health Resource, Inc | Internal Medicine | 470 Linden Ave Ste 7, Harrodsburg, KY 40330 | 2013-02-25 |
| 1518275379 | Matthew James Craig | Internal Medicine | 1225 S Broadway Ste 201, Lexington, KY 40504-2701 | 2010-09-15 |
| 1992969604 | William Benjamin Cundiff | Internal Medicine | 110 Layman Ln, Elizabethtown, KY 42701-2523 | 2008-07-11 |
| 1124297361 | Rejmon Dedaj | Internal Medicine | 2609 New Hartford Rd, Owensboro, KY 42303-1316 | 2008-02-21 |
| 1689758799 | Srinivas M Ammisetty | Internal Medicine | 9350 Us Hwy 23 South, Suite 104, Stanville, KY 41659 | 2006-10-25 |
| 1790888683 | Firas A Koura | Internal Medicine | 1138 Lexington Rd Ste 230, Georgetown, KY 40324-9672 | 2006-09-06 |
| Find all providers with the same taxonomy | ||||
| City | CRESTVIEW HILLS |
| Zip Code | 41017 |
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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.