Individual provider Active NPI

Grant James Linnell, DO

  • Diagnostic Radiology Physician
  • Burlington, VT
National Provider Identifier
1891762332
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
320000530 Issued in VT
Practice address
111 Colchester Ave
Fahc Radiology
Burlington, VT 05401
Phone
(802) 847-3593
Fax
(802) 847-4822
NPI assigned
Mar 3, 2006
Last updated
Jul 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X OS020989 PA
Diagnostic Radiology Physician 2085R0202X 320000530 VT Primary

Addresses

Primary practice location

111 Colchester Ave
Fahc Radiology
Burlington, VT 05401

Mailing address

6900 E Camelback Rd Ste 700
Scottsdale, AZ 85251-2400
Phone (480) 306-6949

Other practice location 1

2100 Harrisburg Pike
Lancaster, PA 17601-2644
Phone (717) 412-1295

Other practice location 2

560 N Lime St
Lancaster, PA 17602-2216
Phone (717) 412-1295

Other practice location 3

555 N Duke St
Lancaster, PA 17602-2250
Phone (717) 412-1295

Other identifiers 3

IdentifierTypeStateIssuer
02722329MedicaidNY
1012212MedicaidVT
103897288MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, PA, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20060214000520 VT Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 9638065204 Reassigns benefits to 6 organizations
I20210713002991 PA Practitioner - Diagnostic Radiology 9638065204 Reassigns benefits to 2 organizations
I20230220000100 FL Practitioner - Diagnostic Radiology 9638065204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Michigan State University College of Osteopathic Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster Radiology Associates LTDGroup PAC ID 0648267526, 53 clinicians
Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians
MRI Group, LLPGroup PAC ID 3779554464, 28 clinicians
Simonmed Imaging Florida LLCGroup PAC ID 6608036108, 302 clinicians

Practice addresses (Care Compare)

231 Baycrest Dr
South Burlington, VT 05403-7720
Phone (717) 412-1295

555 N Duke St
Lancaster, PA 17602-2250
Phone (717) 544-4900

560 N Lime St
Lancaster, PA 17602-2216
Phone (717) 291-1016

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS020989PAMDDiagnostic Radiology Physician
320000530VTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MRI Group, LLP Diagnostic Radiology CurrentSince Sep 1, 2021 Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Jan 1, 2022 Accepting new patients
MRI Group, LLP Diagnostic Radiology CurrentSince May 1, 2022 Accepting new patients
Howard Simon MD PLLC Diagnostic Radiology CurrentSince Jan 1, 2022 Accepting new patients
Lancaster Radiology Associates, LTD. Diagnostic Radiology CurrentSince Sep 1, 2021 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Jan 1, 2022 Accepting new patients
Cleveland Clinic Florida a Nonprofit Corporation Past Accepting new patients
Lancaster Pet Partnership, LLP Past Accepting new patients
The Cleveland Clinic Foundation Past Accepting new patients

Locations (25 of 34)

20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520

16220 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254

6900 E Camelback Rd
Ste 700
Scottsdale, AZ 85251
Phone (602) 651-1945

7304 E Deer Valley Rd
Ste 105
Scottsdale, AZ 85255
Phone (480) 264-2400

265 Citrus Tower Blvd
Ste 100
Clermont, FL 34711
Phone (352) 241-7440

208 W Oak St
Kissimmee, FL 34741
Phone (407) 788-2888

730 Goodlette Rd
Ste 101
Naples, FL 34102
Phone (239) 262-5151

446 E Ontario St
Ste 106
Chicago, IL 60611
Phone (312) 440-0016

306 N 7th St
Columbia, PA 17512
Phone (717) 684-1500

424 Cloverleaf Rd
Elizabethtown, PA 17022
Phone (717) 544-3400

432 Cloverleaf Rd
Elizabethtown, PA 17022
Phone (717) 314-2618

895 E Main St
Ephrata, PA 17522
Phone (717) 435-3835

1520 Harrisburg Pike
Lancaster, PA 17601
Phone (717) 393-1301

1671 Crooked Oak Dr
Lancaster, PA 17601
Phone (717) 569-5331

2100 Harrisburg Pike
Lancaster, PA 17601
Phone (717) 544-3030

2104 Harrisburg Pike
Lancaster, PA 17601
Phone (717) 290-3400

2104 Harrisburg Pike
Ste 4
Lancaster, PA 17601

2118 Spring Valley Rd
Lancaster, PA 17601
Phone (215) 615-2222

333 Harrisburg Ave
Lancaster, PA 17603
Phone (717) 740-4100

538 N Queen St
Lancaster, PA 17603
Phone (267) 886-6609

540 N Duke St
Lancaster, PA 17602
Phone (717) 544-4950

555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945

560 N Lime St
Lancaster, PA 17602
Phone (717) 241-1016

675 Good Dr
Lancaster, PA 17601
Phone (717) 406-3000

690 Good Dr
Lancaster, PA 17601
Phone (717) 544-0700

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 10

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1891762332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 E CAMELBACK RD STE 700",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852512400",
            "telephone_number": "480-306-6949",
            "fax_number": "602-302-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 COLCHESTER AVE",
            "address_2": "FAHC RADIOLOGY",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "05401",
            "telephone_number": "802-847-3593",
            "fax_number": "802-847-4822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Harrisburg Pike",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176012644",
            "country_code": "US",
            "telephone_number": "717-412-1295",
            "fax_number": "717-509-6362",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "560 N Lime St",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176022216",
            "country_code": "US",
            "telephone_number": "717-412-1295",
            "fax_number": "717-509-6362",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 N Duke St",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176022250",
            "country_code": "US",
            "telephone_number": "717-412-1295",
            "fax_number": "717-509-6362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINNELL",
        "first_name": "GRANT",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "OS020989",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VT",
            "license": "320000530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02722329",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012212",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103897288",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

Verify at the official NPI Registry.