Michael J Grant, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

K237 Issued in KY

Practice address

2865 Chancellor Dr Ste 205
Crestview Hills, KY 41017-3931

Phone

(859) 341-9900

Fax

(859) 341-1649

NPI assigned

Sep 11, 2006

Last updated

Mar 16, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Barry University School of Podiatric Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florence Medical Group PSCGroup PAC ID 4981597671, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Florence Medical Group PSC

  • Primary Care Nurse Practitioner
  • Florence, KY
  • NPI 1821033499

  Podiatrist

  Medicare reassignment Care Compare group NPD
• Foot Specialists of Greater Cincinnati

  • Prosthetic/Orthotic Supplier
  • Crestview Hills, KY
  • NPI 1467511162

  Podiatrist

  NPD (past)
• Kevin E Crowley DC PSC

  • Chiropractor
  • Alexandria, KY
  • NPI 1467633503
  NPD (past)
• Northern Kentucky Family Foot Care Inc

  • Podiatrist
  • Alexandria, KY
  • NPI 1235132861
  NPD (past)
• Sigward Psychological Associates

  • Clinical Psychologist
  • Cincinnati, OH
  • NPI 1942255526
  NPD (past)

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1306940408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 GREENBRIAR AVE",
            "city": "FT MITCHELL",
            "state": "KY",
            "postal_code": "410172752",
            "telephone_number": "859-907-5517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 CHANCELLOR DR STE 205",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173931",
            "telephone_number": "859-341-9900",
            "fax_number": "859-341-1649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1852 Ashwood Cir",
            "address_purpose": "LOCATION",
            "city": "Ft Wright",
            "state": "KY",
            "postal_code": "410112602",
            "country_code": "US",
            "telephone_number": "859-907-5517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANT",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "KY",
            "license": "244156",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36003524",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "KY",
            "license": "K237",
            "primary": true
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": "KY",
            "license": "244156",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "KY",
            "license": "244156",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "KY",
            "license": "244156",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUES",
            "identifier": "000000304180",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80002371",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000636981",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDCR DMERC",
            "identifier": "4949440001",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trizah Gitau
• Julie Broderick Gomez
• Briana Goodridge, APRN
• Megan Kathleen Grainger
• Elizabeth Ann Grant, DPT
• Patricia Ann Gribben, O.T.
• Alison Jane Griess, LCSW
• Anastassia Grigorieva, M.D.
• Daniel L Gripshover, CP
• Richard W Grover, MD

• Podiatrist in Crestview Hills, KY
• Providers in Crestview Hills, KY by specialty
• Podiatrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.