Grant Internal Medicine PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

6367A Issued in WY

Legal business name

GRANT INTERNAL MEDICINE PC

Practice address

2908 Foothill Blvd Ste B
Rock Springs, WY 82901-4956

Phone

(307) 362-9041

Fax

(307) 362-9461

NPI assigned

Nov 27, 2007

Organization subpart

No

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

Authorized official

Name

Michael Grant, MDNPI 1386748986

Title

President

Phone

(307) 362-9041

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Michael Ramit Grant, MD

  • Hospitalist Physician
  • Ogden, UT
  • NPI 1386748986
  NPD (past) Authorized official

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1518149012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2908 FOOTHILL BLVD STE B",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829014956",
            "telephone_number": "307-362-9041",
            "fax_number": "307-362-9461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2908 FOOTHILL BLVD STE B",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829014956",
            "telephone_number": "307-362-9041",
            "fax_number": "307-362-9461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-362-9041",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WY",
            "license": "6367A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liron Gokovski, MD
• Angela Rose Gomez, RPH
• Janell Gomez
• Shelby Gordon
• Kathy Graham, LPSW
• Alicia M Gray, MD
• Leontra Gray
• Ashlyn Gregory
• Dana Grenier, FNP-BC
• Preetpal Grewal, D.O.

• Specialist in Rock Springs, WY
• Providers in Rock Springs, WY by specialty
• Specialist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.