Kirk A Grantham (NPI# 1023241403, PAC ID# 3870759236) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1023241403 |
| PAC ID by PECOS | 3870759236 |
| Professional Enrollment ID | I20120730000631 |
| Full Name | Kirk A Grantham |
| Organization Legal Name | WOUND CARE ASSOCIATES LLC |
| Address |
20050 Crestwood Blvd Covington LA 70433-5207 |
| Phone Number | 9858927070 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0840314548 |
| Number of Group Practice Members | 48 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190111 | WILLIS KNIGHTON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2300 Hospital Dr, Bossier City, LA 71111-2394 | 3182127080 | WK BOSSIER HYPERBARIC AND WOUND CARE CENTER |
| 20050 Crestwood Blvd, Covington, LA 70433-5207 | 9858927070 | WOUND CARE ASSOCIATES LLC |
| 2550 Kings Hwy, Shreveport, LA 71103-3922 | 9858927070 | WOUND CARE ASSOCIATES LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| QCDR_EC_CDR1_overall | Adequate Off-loading of Diabetic Foot Ulcer at each treatment visit | 41% | |
| QCDR_EC_CDR5_overall | Adequate Compression of Venous Leg Ulcers at each treatment visit | 15% |
| Organization Legal Name | WOUND CARE ASSOCIATES LLC |
| Physicians | 49 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kaylie M Miceli | Nurse Practitioner | Wound Care Associates LLC | 2401 Idaho Ave, Kenner, LA 70062-5715 |
| Lisa Parker | Nurse Practitioner | Wound Care Associates LLC | 2850 Porters Chapel Rd, Vicksburg, MS 39180-1805 |
| Rebekah M Starns | Nurse Practitioner | Wound Care Associates LLC | 42074 Veterans Ave, Hammond, LA 70403-1408 |
| Carolyn Robinson Hillman | Nurse Practitioner | Wound Care Associates LLC | 1302 44th Ave, Gulfport, MS 39501-2552 |
| Monique Consoer | Nurse Practitioner | Wound Care Associates LLC | 16065 Lamonte Dr, Hammond, LA 70403-1405 |
| Tara L Sykes | Nurse Practitioner | Wound Care Associates LLC | 1302 44th Ave, Gulfport, MS 39501-2552 |
| Charles David Muntan | Emergency Medicine | Wound Care Associates LLC | 20050 Crestwood Blvd, Covington, LA 70433-5207 |
| Joseph A Defraites | Nurse Practitioner | Wound Care Associates LLC | 1415 Tulane Ave, New Orleans, LA 70112-2600 |
| Yolonda Kinzie | Nurse Practitioner | Wound Care Associates LLC | 2080 S Frontage Rd, Suite 106, Vicksburg, MS 39180-5882 |
| Kimberly Peterson Brown | Nurse Practitioner | Wound Care Associates LLC | 3600 Florida Blvd, Baton Rouge, LA 70806-3842 |
| Street Address |
20050 CRESTWOOD BLVD |
| City | COVINGTON |
| State | LA |
| Zip | 70433-5207 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles David Muntan | Emergency Medicine | Wound Care Associates LLC | 20050 Crestwood Blvd, Covington, LA 70433-5207 |
| Claire C. Hammond | Physician Assistant | Wound Care Associates LLC | 20050 Crestwood Blvd, Covington, LA 70433-5207 |
| Todd P Shaffett | Nurse Practitioner | Wound Care Associates LLC | 20050 Crestwood Blvd, Covington, LA 70433-5207 |
| Roy F. Brabham | General Surgery | Wound Care Associates LLC | 20050 Crestwood Blvd, Covington, LA 70433-5207 |
| Shaun Robert Carpenter | Emergency Medicine | Wound Care Associates LLC | 20050 Crestwood Blvd, Covington, LA 70433-5207 |
| Amber Elaine Landry | Nurse Practitioner | Wound Care Associates LLC | 20050 Crestwood Blvd, Covington, LA 70433-5207 |
| Amanda Herrick Estapa | Nurse Practitioner | Wound Care Associates LLC | 20050 Crestwood Blvd, Covington, LA 70433-5207 |
| Stephen R Price | Physician Assistant | Wound Care Associates LLC | 20050 Crestwood Blvd, Covington, LA 70433-5207 |
| Lessley A Petty | Nurse Practitioner | Wound Care Associates LLC | 20050 Crestwood Blvd, Covington, LA 70433-5207 |
| Christopher Charles Keaton | Nurse Practitioner | Wound Care Associates LLC | 20050 Crestwood Blvd, Covington, LA 70433-5207 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cindy Pechon | Clinical Social Worker | 5001 U S Hwy 190 D4, Covington, LA 70433 | |
| Richard B Drude | Gastroenterology | Richard B. Drude, Jr., M.d., Apmc | 69150 Hwy 190, Covington, LA 70433 |
| Bruce S Samuels | Internal Medicine | 189 Greenbriar Blvd, Suite C, Covington, LA 70433 | |
| Nicholas J Viviano | Dermatology | 7031 Hwy 190, Covington, LA 70433 | |
| Thomas W Nielsen Jr. | Clinical Social Worker | 5001 Hwy 190, Suite B 1, Covington, LA 70433 | |
| Glenn D Hedgpeth | Gastroenterology | Dr. Bruce S. Samuels, LLC | 189 Greenbriar Blvd, Covington, LA 70433 |
| Brian C Cochran | Physical Therapy | Covington Physical Therapy Center | 129 Corporate Dr, Covington, LA 70433-1057 |
| Jonathan S Mitchell | Physical Therapy | Covington Physical Therapy Center | 129 Corporate Dr, Covington, LA 70433-1057 |
| Charles Balette | Family Medicine | 1119 S Tyler St, Covington, LA 70433-2327 | |
| Roy C Saguiguit | Internal Medicine | 1113 S Tyler St, Covington, LA 70433-2327 | |
| Find all physicians in zip 70433 | |||
| City | COVINGTON |
| Zip Code | 70433 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | COVINGTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kirk A Grantham.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.