Peter G Grain, M.D., P.C.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

4301069603 Issued in MI

Legal business name

PETER G GRAIN, M.D., P.C.

Practice address

7650 Dixie Hwy
Suite 100
Clarkston, MI 48346-2078

Phone

(248) 620-9310

Fax

(248) 620-1812

NPI assigned

Jun 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Peter G. Grain, M.D.

Title

Owner

Phone

(248) 620-9310

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nadine S Jennings, M.D.

  • Physical Medicine & Rehabilitation Physician
  • West Bloomfield, MI
  • NPI 1851361711
  NPD (past)

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235331836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7650 DIXIE HWY",
            "address_2": "SUITE 100",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462078",
            "telephone_number": "248-620-9310",
            "fax_number": "248-620-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7650 DIXIE HWY",
            "address_2": "SUITE 100",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462078",
            "telephone_number": "248-620-9310",
            "fax_number": "248-620-1812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER G GRAIN, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAIN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-620-9310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "MI",
            "license": "4301069603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MI",
            "identifier": "1406326922",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Periodontal Specialists of Clarkston
• Periodontal Specialists of Clarkston PC
• David Alan Perlman, MD
• Perry Drug Stores Inc and Subsidiaries (Rite Aid Pharmacy 04592)
• Perspectives of Troy, P.C.
• Peter M Wilusz DPM PC
• Peter M Wilusz DPM PC (Town Center Foot and Ankle Clinic)
• Peter Shaman, M.D., PC
• Peter W. Keelin, PH.D., F.L.P., L.L.C.
• Rebecca G Peterson

• Neurological Surgery Physician in Clarkston, MI
• Providers in Clarkston, MI by specialty
• Neurological Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.