Stephen Keith Grandfield, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

07000353A Issued in IN

Practice address

303 W 89TH Ave
Suite E1
Merrillville, IN 46410-6294

Phone

(219) 736-8915

Fax

(219) 736-8928

NPI assigned

Aug 31, 2006

Last updated

Feb 5, 2014By 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 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Podiatric Medical Associates PC

  • Podiatrist
  • Merrillville, IN
  • NPI 1134237639
  Authorized official Same address or phone
• Broadwest Specialty Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Merrillville, IN
  • NPI 1770532194
  NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391558400000",
    "number": "1811008204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 W 89TH AVE",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106294",
            "telephone_number": "219-736-8915",
            "fax_number": "219-736-8928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 W 89TH AVE",
            "address_2": "SUITE E1",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106294",
            "telephone_number": "219-736-8915",
            "fax_number": "219-736-8928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDFIELD",
        "first_name": "STEPHEN",
        "middle_name": "KEITH",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07000353A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100166360A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100166360B",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMERC",
            "identifier": "1089370001",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "480016271",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100207960A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelley Grafton, MSN, RN
• Graham Pshchological Consulting and Restoration, Inc
• Darnika Candice Graham, M.D.
• Paris Graham
• Grand Park Surgical Center, Inc
• Deborah Grandys, RD
• Natalie Martha Grantner, MSW
• Michelle Sue Graun, COTA
• Carol L Gray, COTA/L
• Gwen Alane Graystone, P.T.

• Foot & Ankle Surgery Podiatrist in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Foot & Ankle Surgery Podiatrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.

Verify at the official NPI Registry.