Douglas R Grant in West Springfield - Physician Assistant
Douglas R Grant - NPI 1285661280
Douglas R Grant is a Physician Assistant in West Springfield, Massachusetts. Douglas R Grant practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Douglas R Grant is 1285661280. The last update date is 2007-07-08.
Douglas R Grant's current location address is 1275 Elm St, West Springfield, Massachusetts. You can contact this provider via phone number 4137851153 and fax number 4137814951. The mailing address for Douglas R Grant is 1275 Elm St, West Springfield, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas R Grant |
|---|---|
| Address | 1275 Elm St, West Springfield, Massachusetts |
| Phone Number | 4137851153 |
| Fax Number | 4137814951 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1285661280 |
|---|---|
| Provider Enumeration Date | 2006-06-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1275 Elm St |
|---|---|
| City | West Springfield |
| State | Massachusetts (MA) |
| Post Code | 10891820 |
| Phone Number | 4137851153 |
| Fax Number | 4137814951 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 155 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| M15170 | MA | BCBS |
Post Comment/ Review Below
What is the unique identification code assigned to Douglas R Grant by the Centers for Medicare & Medicaid Services?
The Douglas R Grant has been issued the NPI (National Provider Identifier) 1285661280. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Douglas R Grant is located?
The Douglas R Grant is situated at the following address: 1275 Elm St, West Springfield, MA, 10891820.
What is Douglas R Grant's specialized field of practice, and what is the corresponding taxonomy classification code?
The Douglas R Grant's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date was the 1285661280 assigned to Douglas R Grant?
The Douglas R Grant was issued its 1285661280 on 2006-06-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Douglas R Grant's details last updated?
The information pertaining to the Douglas R Grant, including its address, specialty, and other details, was most recently updated on 2007-07-08.