Active NPI
Shawn Kay Grandia, M.D.
- Adult Reconstructive Orthopaedic Surgery Physician
- Frederick, MD
National Provider Identifier
1710949409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Reconstructive Orthopaedic Surgery Physician
- License
- D41421
- Practice address
- 187 Thomas Johnson Dr Ste 1
Frederick, MD 21702-4445 - Phone
- (301) 378-9421
- Fax
- (301) 378-9529
- NPI assigned
- Apr 6, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | D41421 | MD | Primary |
Addresses
Primary practice location
187 Thomas Johnson Dr Ste 1
Frederick, MD 21702-4445
Mailing address
187 Thomas Johnson Dr Ste 1
Frederick, MD 21702-4445
Phone (301) 378-9421
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sgrandia@direct.robinwoodortho.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100928000729 | MD | Practitioner - Orthopedic Surgery | 1658318340 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D41421 | MD | MD | Adult Reconstructive Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centers for Advanced Orthopaedics, LLC | Adult Reconstructive Orthopaedic Surgery | Current | Accepting new patients |
| Centers for Advanced Orthopaedics, LLC | Adult Reconstructive Orthopaedic Surgery | Current | Accepting new patients |
| Centers for Advanced Orthopaedics, LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Fisher & Grandia, M.D., P.a. | Past | Accepting new patients |
Locations
86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444
187 Thomas Johnson Dr
Ste 1
Frederick, MD 21702
Phone (301) 378-9421
Organizations & group practices 5
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.
-
- Orthopaedic Surgery Physician
- Olney, MD
- NPI 1487093167
Adult Reconstructive Orthopaedic Surgery, MD
-
- Orthopaedic Surgery Physician
- Prince Frederick, MD
- NPI 1710455894
Adult Reconstructive Orthopaedic Surgery
-
- Orthopaedic Surgery Physician
- Gainesville, VA
- NPI 1063393833
-
- Orthopaedic Surgery Physician
- Frederick, MD
- NPI 1316905581
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591401600000",
"number": "1710949409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "187 THOMAS JOHNSON DR STE 1",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024445",
"telephone_number": "301-378-9421",
"fax_number": "301-378-9529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "187 THOMAS JOHNSON DR STE 1",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024445",
"telephone_number": "301-378-9421",
"fax_number": "301-378-9529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANDIA",
"first_name": "SHAWN",
"middle_name": "KAY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-06",
"last_updated": "2020-06-06",
"certification_date": "2020-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "MD",
"license": "D41421",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sgrandia@direct.robinwoodortho.com",
"affiliation": "N",
"address_1": "187 Thomas Johnson Dr Ste 1",
"city": "Frederick",
"state": "MD",
"country_code": "US",
"postal_code": "217024445",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.