Grant Michalak, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1301 Pennsylvania Ave
Fort Worth, TX 76104-2122

Phone

(214) 578-9161

NPI assigned

May 7, 2020

Last updated

May 7, 2020By 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

Medicare fee-for-service enrollment

Enrolled in TX, CO2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• World Medical Group PLLC

  • Family Medicine Physician
  • Arlington, TX
  • NPI 1215212345
  Medicare reassignment NPD
• Emergency Service Physicians, Inc.

  • Emergency Medicine Physician
  • Wheat Ridge, CO
  • NPI 1326097668
  Medicare reassignment NPD
• Texas Health Physicians Group

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1174573596
  Medicare reassignment
• Usacs Observation Medicine Services of Colorado Inc.

  • Emergency Medicine Physician
  • Lakewood, CO
  • NPI 1518491232
  Medicare reassignment
• Usacs of Colorado, Inc

  • Emergency Medicine Physician
  • Littleton, CO
  • NPI 1760415871
  Medicare reassignment
• Texas Health Physicians Group

  dba Sleep Healers

  • Sleep Disorder Diagnostic Clinic/Center
  • Dallas, TX
  • NPI 1174992051
  NPD
• Emergency Service Physicians, Inc.

  • Emergency Medicine Physician
  • Aurora, CO
  • NPI 1548895048
  NPD
• Usacs Observation Medicine Services of Colorado Inc.

  • Critical Care Medicine (Internal Medicine) Physician
  • Durango, CO
  • NPI 1659220663
  NPD
• Usacs of Colorado Inc

  • Emergency Medicine Physician
  • Lakewood, CO
  • NPI 1720614217
  NPD
• Usacs of Colorado, Inc.

  • Emergency Medicine Physician
  • Colorado Springs, CO
  • NPI 1760174056
  NPD

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1871115378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3391 COUNTY ROAD 324",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750691151",
            "telephone_number": "214-578-9161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PENNSYLVANIA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042122",
            "telephone_number": "214-578-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHALAK",
        "first_name": "GRANT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-07",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Nazarian Heart & Vascular
• Michael Nazarian MD, Associates
• Michael R. Jackson D.D.S., Inc.
• Sara C Michael, ARNP
• Michaelangelo Dentistry PLLC
• Sally McIntyre Michaud, NNP-BC
• Michelle Harvey, PHD Clinical Health Psychology
• Stephen Christopher Michlin, D.C., B.C.A.O.
• Jayma Mickler, PA-C
• Mid Cities Synaptic Neuro LLC

• Physician Assistant in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.

Verify at the official NPI Registry.