Mark E Grandon is a Surgical in Louisville, Kentucky. Mark E Grandon practices all healthcare services and medical treatments related to Surgical. The NPI Number for Mark E Grandon is 1386683852. The last update date is 2016-07-09.
Mark E Grandon's current location address is 3 Audubon Plaza Dr, Louisville, Kentucky. You can contact this provider via phone number 5026368004 and fax number 5026368384. The mailing address for Mark E Grandon is 3 Audubon Plaza Dr, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark E Grandon |
|---|---|
| Address | 3 Audubon Plaza Dr, Louisville, Kentucky |
| Phone Number | 5026368004 |
| Fax Number | 5026368384 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1386683852 |
|---|---|
| Provider Enumeration Date | 2006-06-06 |
| Last Updated Date | 2016-07-09 |
Provider Mailing Address Detail
| Address | 3 Audubon Plaza Dr |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 402171319 |
| Phone Number | 5026368004 |
| Fax Number | 5026368384 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | PA155 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 121030 | KY | SIHO - CTS | |
| 50032501 | KY | PASSPORT/PASSPORT ADVANTAGE - | |
| 95001558 | KY | -- | |
| 689934 | KY | ANTHEM - CTS | |
| 1299470001 | KY | PTAN |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mark E Grandon?
The Mark E Grandon has been issued the NPI (National Provider Identifier) 1386683852 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Mark E Grandon's facilities are situated?
The facilities of Mark E Grandon are physically located at the following address: 3 Audubon Plaza Dr, Louisville, KY, 402171319.
What is Mark E Grandon's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mark E Grandon is Surgical, and the taxonomy classification code that categorizes this area of expertise is 363As0400X.
When did the Mark E Grandon receive its 1386683852?
The Mark E Grandon was issued its 1386683852 on 2006-06-06, which is the date when the organization was assigned this unique identifier.
When was the information regarding Mark E Grandon, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mark E Grandon, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-07-09.