Individual provider Active NPI

Shawn Kay Grandia, M.D.

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Frederick, MD
National Provider Identifier
1710949409
Registry record updated Jun 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
D41421 Issued in MD
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

Updated by the provider on Jun 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
D41421MDMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC Adult Reconstructive Orthopaedic Surgery CurrentSince Jan 1, 2019 Accepting new patients
Centers for Advanced Orthopaedics, LLC Adult Reconstructive Orthopaedic Surgery Current Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Jan 1, 2019 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.

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

Verify at the official NPI Registry.