Grant McCann Mussman, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

90067 Issued in OH

Practice address

7777 Yankee Road ML 16026
Liberty Township, OH 45044-3500

Phone

(513) 803-9649

Fax

(513) 803-9659

NPI assigned

Mar 21, 2006

Last updated

Feb 18, 2015By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• City of Cincinnati

  dba Ambrose Clement Health Center Pharmacy

  • Clinic Pharmacy
  • Cincinnati, OH
  • NPI 1477112308
  NPD (past)

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424217600000",
    "number": "1639138209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 YANKEE ROAD ML 16026",
            "city": "LIBERTY TOWNSHIP",
            "state": "OH",
            "postal_code": "450443500",
            "telephone_number": "513-803-9649",
            "fax_number": "513-803-9659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 YANKEE ROAD ML 16026",
            "city": "LIBERTY TOWNSHIP",
            "state": "OH",
            "postal_code": "450443500",
            "telephone_number": "513-803-9649",
            "fax_number": "513-803-9659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSSMAN",
        "first_name": "GRANT",
        "middle_name": "MCCANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2015-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "90067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010181127",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• MND SWPR LLC
• Angela Montgomery, HIS
• Erica Moorman, M.D.
• Soha Mousa, M.D.
• Sari Murray, CSA
• Myeyedr Optometry of Ohio, LLC (MyEyeDr.)
• Vickie M Neapolitan, MSW, LISW
• Desire Nelson, LPN
• Nichols Partners
• Elizabeth Ann Noble, ED.S

• Pediatrics Physician in Liberty Township, OH
• Providers in Liberty Township, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; 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.