Active NPI
Michael T. Grant, M.D., P.C.
- Specialist
- West Seneca, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 147528
- Legal business name
- MICHAEL T. GRANT, M.D., P.C.
- Practice address
- 550 Orchard Park Rd
Building B, Suite 105
West Seneca, NY 14224-2646 - Phone
- (716) 677-6404
- Fax
- (716) 677-6407
- NPI assigned
- Nov 28, 2007
- Last updated
- Feb 19, 2008
- Organization subpart
- Yes
- Parent organization
- MICHAEL T. GRANT, M.D., P.C.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Thomas Grant, M.D.
- Title
- Owner
- Phone
- (716) 677-6404
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 147528 | NY | Primary |
Addresses
Primary practice location
550 Orchard Park Rd
Building B, Suite 105
West Seneca, NY 14224-2646
Mailing address
550 Orchard Park Rd
Building B, Suite 105
West Seneca, NY 14224-2646
Phone (716) 677-6404
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00886879 | Medicaid | NY |
National Provider Directory
National Provider Directory- Part of
- Michael T Grant MD PC
Locations
550 Orchard Park Rd
Ste 105
West Seneca, NY 14224
Phone (716) 677-6404
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Specialist
- West Seneca, NY
- NPI 1982694717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196208000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203379200000",
"number": "1043492499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 ORCHARD PARK RD",
"address_2": "BUILDING B, SUITE 105",
"city": "WEST SENECA",
"state": "NY",
"postal_code": "142242646",
"telephone_number": "716-677-6404",
"fax_number": "716-677-6407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 ORCHARD PARK RD",
"address_2": "BUILDING B, SUITE 105",
"city": "WEST SENECA",
"state": "NY",
"postal_code": "142242646",
"telephone_number": "716-677-6404",
"fax_number": "716-677-6407"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL T. GRANT, M.D., P.C.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MICHAEL T. GRANT, M.D., P.C.",
"enumeration_date": "2007-11-28",
"last_updated": "2008-02-19",
"status": "A",
"authorized_official_last_name": "GRANT",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "716-677-6404",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "147528",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00886879",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Seneca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.