Justin Grant, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

94-08626 Issued in KS

Practice address

1010 N Kansas St
Wichita, KS 67214-3124

Phone

(316) 858-3460

NPI assigned

Jun 4, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General PracticeAlso: Sports Medicine

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eastern Rio Blanco County Health Service DistrictGroup PAC ID 0345249751, 41 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Eastern Rio Blanco County Health Service District Hospital, Meeker, CO, CCN 061325
• Memorial Hospital, the Hospital, Craig, CO, CCN 061314
• Grand River Hospital District Hospital, Rifle, CO, CCN 061317
• Rangely District Hospital Hospital, Rangely, CO, CCN 061307
• Community Hospital Hospital, Grand Junction, CO, CCN 060054

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: justin.grant.1@31155.direct.athenahealth.com
• Direct secure messaging: justin.grant.1@15452.direct.athenahealth.com

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

• Eastern Rio Blanco County Health Service District

  • Rural Health Clinic/Center
  • Meeker, CO
  • NPI 1902900269
  Medicare reassignment Care Compare group NPD
• Eastern Rio Blanco County Health Service District

  • Skilled Nursing Facility
  • Meeker, CO
  • NPI 1306944822
  NPD
• Eastern Rio Blanco County Health Service District

  • Multi-Specialty Clinic/Center
  • Meeker, CO
  • NPI 1982302022
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Colorado West Healthcare System

  • General Acute Care Hospital
  • Grand Junction, CO
  • NPI 1497723407
  Care Compare affiliation
• Eastern Rio Blanco County Health Service District

  • Critical Access Hospital
  • Meeker, CO
  • NPI 1801874771
  Care Compare affiliation
• Grand River Hospital District

  • Critical Access Hospital
  • Rifle, CO
  • NPI 1649218991
  Care Compare affiliation
• Rangely Hospital District

  • Critical Access Hospital
  • Rangely, CO
  • NPI 1063430346
  Care Compare affiliation
• The Memorial Hospital

  • Critical Access Hospital
  • Craig, CO
  • NPI 1063418424
  Care Compare affiliation
• The Memorial Hospital

  • Land Ambulance
  • Craig, CO
  • NPI 1669288809

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1275913147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N KANSAS ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143124",
            "telephone_number": "316-858-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N KANSAS ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143124",
            "telephone_number": "316-858-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "JUSTIN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "94-08626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giselle Granados, OWNER
• Maria Esther Granados, LSCSW
• George Stephen Granberry IV, PA-C
• Stephanie Granger, PSYD
• Devin Grant
• Marjeanne Grant, RN
• Michael Edward Grant, M.D.
• Natalie Grant, LMSW
• David C. Grantham, M.D.
• Valerie Audra Grau, MD

• Family Medicine Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.