James Alan Grogan, PA
Individual provider Active NPI Medical Physician Assistant · Lexington, MI
NPI 1003932476 · NPPES record last updated Oct 7, 2016
Key facts
- NPI
- 1003932476
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 5601001722 (MI)
- Practice address
- 5730 Main St
Lexington, MI 48450-8800 - Phone
- (810) 696-2088
- Fax
- (810) 696-2088
- NPI assigned
- Mar 21, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Interoperability endpoints
- jgrogan58719@direct.hfhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601001722 | MI | |
| Medical Physician Assistant | 363AM0700X | 5601001722 | MI | Yes |
Addresses
Primary practice location
5730 Main St
Lexington, MI 48450-8800
Mailing address
5730 Main St
Lexington, MI 48450-8800
Phone (810) 696-2088
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 382516038 | Other | MI | GROUP PRACTICE TAX ID NUM |
Other providers in Lexington, MI
- Paul Robert Freeman
- Cheyenne French
- Gregory Garofalo
- Shia Marie Green
- Sierra Starr Greer
- Madelyn Grace Gyomory
- Dora Hale
- Nicholas Avery Hauxwell
- Sean Henning
- Kara Henshaw
All providers in Lexington, MI · Medical Physician Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.