Active NPI
Gregory Stuart Grant, DO
- Family Medicine Physician
- Lorain, OH
National Provider Identifier
1629166004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34008218
- Practice address
- 5940 Oak Point Rd
Lorain, OH 44053-4100 - Phone
- (440) 988-3705
- Fax
- (440) 988-7433
- NPI assigned
- Oct 10, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34008218 | OH | Primary |
Addresses
Primary practice location
5940 Oak Point Rd
Lorain, OH 44053-4100
Mailing address
5940 Oak Point Rd
Lorain, OH 44053-4100
Phone (440) 988-3705
Other practice location 1
2114 State Route 113 E
Milan, OH 44846-9483
Phone (419) 499-7600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2594643 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5490 Oak Point Rd
Lorain, OH 44053-1847
Phone (440) 988-3705
Hospital & facility affiliations
- Mercy Regional Medical Center
- Fisher-Titus Hospital
- Mercy Health - Willard Hospital
- Mercy Health - Tiffin Hospital
- Mercy Allen Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34008218 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians Lorain, LLC | Family Medicine | Current | Accepting new patients |
| Mercy Health Physicians, Lorain, LLC | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
578 N Leavitt Rd
Amherst, OH 44001
Phone (440) 960-3912
5940 Oak Point Rd
Lorain, OH 44053
Phone (440) 988-3705
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Lorain, OH
- NPI 1023347192
-
- Durable Medical Equipment & Medical Supplies
- Oberlin, OH
- NPI 1730724147
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Norwalk, OH
- NPI 1992738959
-
- General Acute Care Hospital
- Tiffin, OH
- NPI 1316994734
-
- Critical Access Hospital
- Willard, OH
- NPI 1790731016
-
- Critical Access Hospital
- Oberlin, OH
- NPI 1801825997
-
- Clinical Medical Laboratory
- Lorain, OH
- NPI 1164971800
Hospital
-
- General Acute Care Hospital
- Lorain, OH
- NPI 1245274950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686528000000",
"number": "1629166004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5940 OAK POINT RD",
"city": "LORAIN",
"state": "OH",
"postal_code": "440534100",
"telephone_number": "440-988-3705",
"fax_number": "440-988-7433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5940 OAK POINT RD",
"city": "LORAIN",
"state": "OH",
"postal_code": "440534100",
"telephone_number": "440-988-3705",
"fax_number": "440-988-7433"
}
],
"practiceLocations": [
{
"address_1": "2114 State Route 113 E",
"address_purpose": "LOCATION",
"city": "Milan",
"state": "OH",
"postal_code": "448469483",
"country_code": "US",
"telephone_number": "419-499-7600",
"fax_number": "419-499-7300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRANT",
"first_name": "GREGORY",
"middle_name": "STUART",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2023-06-12",
"certification_date": "2023-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34008218",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2594643",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lorain, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.