Individual provider Active NPI

Grant Michael Smurawa, RN

  • Emergency Medicine Physician
  • Milwaukee, WI
National Provider Identifier
1447124169
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
1108725-30 Issued in WI
Practice address
8810 William Coffey Dr
Milwaukee, WI 53226-1264
Phone
(414) 805-6717
NPI assigned
Oct 4, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X 1108725-30 WI Primary

Addresses

Primary practice location

8810 William Coffey Dr
Milwaukee, WI 53226-1264

Mailing address

8810 William Coffey Dr
Wauwatosa, WI 53226-1264
Phone (414) 805-6717

Other practice location 1

13600 Juneau Blvd
Elm Grove, WI 53122-1654
Phone (262) 782-5885

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1108725-30WIMDEmergency Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1759536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1447124169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8810 WILLIAM COFFEY DR",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261264",
            "telephone_number": "414-805-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8810 WILLIAM COFFEY DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532261264",
            "telephone_number": "414-805-6717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13600 Juneau Blvd",
            "address_purpose": "LOCATION",
            "city": "Elm Grove",
            "state": "WI",
            "postal_code": "531221654",
            "country_code": "US",
            "telephone_number": "262-782-5885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMURAWA",
        "first_name": "GRANT",
        "middle_name": "MICHAEL",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-04",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "1108725-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; 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.