Active NPI
Nana Grant-Acquah, M.D.
- Anesthesiology Physician
- Menomonee Falls, WI
National Provider Identifier
1619952819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 23064-020
- Practice address
- W180N8085 Town Hall Rd
Department of Anesthesiology
Menomonee Falls, WI 53051-3518 - Phone
- (262) 502-3300
- NPI assigned
- Dec 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 23064-020 | WI | Primary |
Addresses
Primary practice location
W180N8085 Town Hall Rd
Department of Anesthesiology
Menomonee Falls, WI 53051-3518
Mailing address
W180N8085 Town Hall Rd
Department of Anesthesiology
Menomonee Falls, WI 53051-3518
Phone (262) 502-3300
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619952819 | Medicaid | WI | |
| 30446100 | Medicaid | WI | |
| 050050946 | Other | RAIL ROAD MEDICARE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23064-020 | WI | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418688000000",
"number": "1619952819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W180N8085 TOWN HALL RD",
"address_2": "DEPARTMENT OF ANESTHESIOLOGY",
"city": "MENOMONEE FALLS",
"state": "WI",
"postal_code": "530513518",
"telephone_number": "262-502-3300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W180N8085 TOWN HALL RD",
"address_2": "DEPARTMENT OF ANESTHESIOLOGY",
"city": "MENOMONEE FALLS",
"state": "WI",
"postal_code": "530513518",
"telephone_number": "262-502-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT-ACQUAH",
"first_name": "NANA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-09",
"last_updated": "2014-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WI",
"license": "23064-020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1619952819",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30446100",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "050050946",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Menomonee Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.