Phillip M. Grandstaff, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

P2252 Issued in TX

Practice address

210 Richmond CT
Harlingen, TX 78552-1935

Phone

(956) 230-0896

NPI assigned

Jan 3, 2006

Last updated

Feb 19, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Emergency Services

  • Emergency Medicine Physician
  • Lee's Summit, MO
  • NPI 1295713196
  NPD (past)
• United Imaging Consultants, LLC

  • Diagnostic Radiology Physician
  • Lenexa, KS
  • NPI 1588669766
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361232000000",
    "number": "1043298946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 STATE ST FL 26",
            "address_2": "ATTN: EMILY RUNEY",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021091827",
            "telephone_number": "617-204-3547",
            "fax_number": "617-428-4917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 RICHMOND CT",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785521935",
            "telephone_number": "956-230-0896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDSTAFF",
        "first_name": "PHILLIP",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2013-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KS",
            "license": "0426890",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "P2252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey William Gosney, PHD, LCSW, ICAADC
• Cassie Anglea Gracia
• Vanessa Villegas Gracia, PTA
• Larry E Graham Jr.
• Fernando Ariel Grajales
• Carol Grannum, MD
• Jennifer Gray
• Rhonda Gray
• Guy Howard Grayson, M.D. P.A.
• Stephen Eric Grayson, PHARM.D.

• Emergency Medicine Physician in Harlingen, TX
• Providers in Harlingen, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.