Active NPI
Andrew Duncan Grant, MD
- Cardiovascular Disease Physician
- South Euclid, OH
National Provider Identifier
1184924540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 57.018752
- Practice address
- 4110 Stilmore Rd
South Euclid, OH 44121-3130 - Phone
- (216) 938-9524
- NPI assigned
- Nov 1, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 57.018752 | OH | Primary |
Addresses
Primary practice location
4110 Stilmore Rd
South Euclid, OH 44121-3130
Mailing address
4110 Stilmore Rd
South Euclid, OH 44121-3130
Phone (216) 938-9524
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57.018752 | OH | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288569600000",
"number": "1184924540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4110 STILMORE RD",
"city": "SOUTH EUCLID",
"state": "OH",
"postal_code": "441213130",
"telephone_number": "216-938-9524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4110 STILMORE RD",
"city": "SOUTH EUCLID",
"state": "OH",
"postal_code": "441213130",
"telephone_number": "216-938-9524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "ANDREW",
"middle_name": "DUNCAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-01",
"last_updated": "2010-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "OH",
"license": "57.018752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Euclid, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.